Organization Active NPI

Shalom Health Care Services LLC

  • Developmental Disabilities Clinic/Center
  • Washington, DC
National Provider Identifier
1013673334
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
SHALOM HEALTH CARE SERVICES LLC
Practice address
1629 K St NW Ste 300
Washington, DC 20006-1631
Phone
(202) 835-0680
NPI assigned
Nov 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Easrahel Asfaw Meskelu, BHS
Title
Ceo
Phone
(240) 481-7222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1629 K St NW Ste 300
Washington, DC 20006-1631

Mailing address

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (202) 835-0680

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1013673334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-835-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061631",
            "telephone_number": "202-835-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MESKELU",
        "authorized_official_first_name": "EASRAHEL",
        "authorized_official_middle_name": "ASFAW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-481-7222",
        "authorized_official_credential": "BHS"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.