Provider Demographics
NPI:1306598529
Name:SHILEI LLC
Entity type:Organization
Organization Name:SHILEI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/ALT ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-653-4357
Mailing Address - Street 1:660 NW 119TH ST STE G
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-2523
Mailing Address - Country:US
Mailing Address - Phone:305-653-4357
Mailing Address - Fax:786-275-4178
Practice Address - Street 1:660 NW 119TH ST STE G
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2523
Practice Address - Country:US
Practice Address - Phone:305-653-4357
Practice Address - Fax:786-275-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health