Provider Demographics
NPI:1568001451
Name:DAVIDSHIELD HOME CARE LLC
Entity Type:Organization
Organization Name:DAVIDSHIELD HOME CARE LLC
Other - Org Name:DAVID STAR HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-817-8309
Mailing Address - Street 1:1500 WESTON RD STE 200-2
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3263
Mailing Address - Country:US
Mailing Address - Phone:813-817-8309
Mailing Address - Fax:
Practice Address - Street 1:1500 WESTON RD STE 200-2
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3263
Practice Address - Country:US
Practice Address - Phone:813-817-8309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty