Provider Demographics
NPI:1912516766
Name:SHEILAS LUXURYCARE SERVICES
Entity Type:Organization
Organization Name:SHEILAS LUXURYCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:KANEISHA
Authorized Official - Last Name:ARCHIBALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-435-3113
Mailing Address - Street 1:PO BOX 1242
Mailing Address - Street 2:
Mailing Address - City:INDIAN HEAD
Mailing Address - State:MD
Mailing Address - Zip Code:20640-0899
Mailing Address - Country:US
Mailing Address - Phone:240-435-3113
Mailing Address - Fax:
Practice Address - Street 1:5385 OSWALD PL
Practice Address - Street 2:
Practice Address - City:INDIAN HEAD
Practice Address - State:MD
Practice Address - Zip Code:20640-3334
Practice Address - Country:US
Practice Address - Phone:240-435-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care