Provider Demographics
NPI:1144078759
Name:SHEBAH CARE LLC
Entity type:Organization
Organization Name:SHEBAH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REKIK
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMECHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-760-9721
Mailing Address - Street 1:2605 LAKE POINT DR APT 717
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-8793
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2605 LAKE POINT DR APT 717
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-8793
Practice Address - Country:US
Practice Address - Phone:240-760-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities