Organization Active NPI

Shalom Home Care LLC

  • In Home Supportive Care Agency
  • Omaha, NE
National Provider Identifier
1023778495
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHALOM HOME CARE LLC
Practice address
11307 P Street
Omaha, NE 68137-6813
Phone
(402) 913-7273
NPI assigned
Dec 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Sena Tsogbevi
Title
Owner/President
Phone
(402) 913-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11307 P Street
Omaha, NE 68137-6813

Mailing address

19256 Holmes St
Omaha, NE 68135-3662

National Provider Directory

National Provider Directory

Locations

11307 P St
Omaha, NE 68137
Phone (402) 913-7273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1023778495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19256 HOLMES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 P STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681376813",
            "telephone_number": "402-913-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "TSOGBEVI",
        "authorized_official_first_name": "SENA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-913-7273"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.