SHANNON HOME HEALTH SERVICES – Home Health Agency, NPI 1225031446

SHANNON HOME HEALTH SERVICES is a healthcare provider. based in San angelo, Texas. specializing in Home Health Agency. The organization holds a License No. 003134 (TX). The NPI Number for SHANNON HOME HEALTH SERVICES is 1225031446

Main info

Organization
Name
SHANNON HOME HEALTH SERVICES
NPI
1225031446
Phone
(325) 659-7480
Address
2030 PULLIAM ST
Authorized Official
JOSEPH WOOLDRIDGE CFO
Enumeration Date
23 May 2005
Last Update Date
2 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:21State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for SHANNON HOME HEALTH SERVICES

  • Pulliam Street, Ft. Concho East, San Angelo, Tom Green County, Texas, 76903, United States of America

    STE 6

    SAN ANGELO, TX 769055157

    Phone: (325) 659-7480

    Fax: (325) 659-7497

    Type: Location

  • 3555 KNICKERBOCKER RD STE 21

    SAN ANGELO, TX 769047610

    Phone: (325) 747-7480

    Fax: (325) 747-7497

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060802000554OHome Health AgencyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76905)

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Reviews

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Frequently asked questions

Is SHANNON HOME HEALTH SERVICES listed with a National Provider Identifier?
Yes — SHANNON HOME HEALTH SERVICES has NPI 1225031446 on file in the registry.
Is there an active status for SHANNON HOME HEALTH SERVICES?
For scheduling context, SHANNON HOME HEALTH SERVICES is shown as active in the registry.
What expertise is attributed to SHANNON HOME HEALTH SERVICES?
SHANNON HOME HEALTH SERVICES's specialty line reads Home Health Agency. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHANNON HOME HEALTH SERVICES?
Travel planning: use San Angelo, Texas as the reference point for SHANNON HOME HEALTH SERVICES, then confirm.
When was this NPI issued?
Enumeration for SHANNON HOME HEALTH SERVICES is noted as May 23, 2005 where the registry provides it.

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