Organization
EL-SHADDAI CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C NIETO (AUTH LICENTIAM AGENT)
(973) 580-3112
Entity
Organization
Contact information
Practice address
7707 FAWN TERRACE DR, HOUSTON, TX 77071-2718
(713) 728-2677
(713) 728-8226
Mailing address
7707 FAWN TERRACE DR, HOUSTON, TX 77071-2718
(713) 728-2677
(713) 728-8226
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
007009
TX
251J00000X
Nursing Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001143
—
TX
05
—
001003898
—
TX
Enumeration date
11/16/2006
Last updated
05/16/2025
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