Provider Demographics
NPI:1477268688
Name:SHIRELLES PERSON CENTERED CASE MANAGEMENT
Entity Type:Organization
Organization Name:SHIRELLES PERSON CENTERED CASE MANAGEMENT
Other - Org Name:SHIRELLES PCCM
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRELLE
Authorized Official - Middle Name:COLLINS
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-901-8485
Mailing Address - Street 1:5258 MADDEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-2724
Mailing Address - Country:US
Mailing Address - Phone:281-901-8485
Mailing Address - Fax:
Practice Address - Street 1:5258 MADDEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-2724
Practice Address - Country:US
Practice Address - Phone:281-901-8485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty