Shifacare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010762 Issued in TX

Legal business name

SHIFACARE INC.

Doing business as

Harbor Healthcare

Practice address

3901 Airport Fwy
Suite 105
Bedford, TX 76021-6117

Phone

(214) 329-4900

Fax

(214) 615-9069

NPI assigned

Apr 25, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sohail Badruddin

Title

President

Phone

(214) 329-4902

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harbor Healthcare Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1881813954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 AIRPORT FWY",
            "address_2": "SUITE 105",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216117",
            "telephone_number": "817-380-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 AIRPORT FWY",
            "address_2": "SUITE 105",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216117",
            "telephone_number": "214-329-4900",
            "fax_number": "214-615-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFACARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BADRUDDIN",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-329-4902"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXDADS - PAS",
            "identifier": "010762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Bedford, TX
• Providers in Bedford, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.