Provider Demographics
NPI:1891318838
Name:BRANDON'S TOTAL LOVING CARE HOME CARE AGENCY, LLC
Entity Type:Organization
Organization Name:BRANDON'S TOTAL LOVING CARE HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-551-0469
Mailing Address - Street 1:1400 CLAREWOOD DR.
Mailing Address - Street 2:#209
Mailing Address - City:SAN MARCOS (HAYS)
Mailing Address - State:TX
Mailing Address - Zip Code:78666-2176
Mailing Address - Country:US
Mailing Address - Phone:737-213-4000
Mailing Address - Fax:
Practice Address - Street 1:1400 CLAREWOOD DR. #209
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-8009
Practice Address - Country:US
Practice Address - Phone:737-213-4000
Practice Address - Fax:737-214-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health