Provider Demographics
NPI:1952131708
Name:SHUNAMMITE HOME CARE LLC
Entity type:Organization
Organization Name:SHUNAMMITE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-440-0002
Mailing Address - Street 1:1648 BAYLAND ST
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3746
Mailing Address - Country:US
Mailing Address - Phone:512-297-8312
Mailing Address - Fax:512-494-4233
Practice Address - Street 1:1648 BAYLAND ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3746
Practice Address - Country:US
Practice Address - Phone:512-297-8312
Practice Address - Fax:512-494-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)