# LIFESHIELD HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902150980
- **Authorized official:** MR. MUSTATAB AHMAD (MANAGER/OWNER)
- **Authorized official phone:** (713) 562-7803

## Contact information

- **Practice address:** 1111 HIGHWAY 6 SOUTHIMPERIAL MEDICAL CENTER, SUITE 252, IMPERIAL MEDICAL CENTER, SUITE 252, SUAGAR LAND, TX 77478
- **Practice address phone:** (281) 676-8724
- **Mailing address:** 1715 MISSION SPRINGS DR, KATY, TX 77450-5059
- **Mailing address phone:** (281) 676-8724
- **Mailing address fax:** (281) 676-8724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 801639882 | TX | Yes |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 10/30/2012