Provider Demographics
NPI:1255888624
Name:MACS HEALTHY LIVING HOME CARE
Entity type:Organization
Organization Name:MACS HEALTHY LIVING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERICE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-206-3353
Mailing Address - Street 1:2630 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-3710
Mailing Address - Country:US
Mailing Address - Phone:281-206-3353
Mailing Address - Fax:
Practice Address - Street 1:2630 MONTICELLO DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-3710
Practice Address - Country:US
Practice Address - Phone:281-206-3353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health