Provider Demographics
NPI:1174759732
Name:SHEPHERD HOME CARE SERVICES
Entity type:Organization
Organization Name:SHEPHERD HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMEL-RODNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:803-979-8779
Mailing Address - Street 1:16729 WINSTON OAKS CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-5206
Mailing Address - Country:US
Mailing Address - Phone:803-979-8779
Mailing Address - Fax:704-688-5397
Practice Address - Street 1:16729 WINSTON OAKS CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-5206
Practice Address - Country:US
Practice Address - Phone:803-979-8779
Practice Address - Fax:704-688-5397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health