1912019449 NPI number — SHULTS PARTNERS, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912019449 NPI number — SHULTS PARTNERS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHULTS PARTNERS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HOME HEALTH PROFESSIONALS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912019449
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 161535
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78716-1535
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-507-2156
Provider Business Mailing Address Fax Number:
281-334-4744

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4600 W. GUADALUPE ST
Provider Second Line Business Practice Location Address:
B-336
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-507-2156
Provider Business Practice Location Address Fax Number:
281-334-4744
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHULTS
Authorized Official First Name:
KELSEY
Authorized Official Middle Name:
G
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
281-507-2156

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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