Shiloh Home Health Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

R52598 Issued in NM

Legal business name

SHILOH HOME HEALTH INC

Doing business as

Shiloh Home Health

Practice address

4301 Largo St Ste a
Farmington, NM 87402-8629

Phone

(505) 436-3350

Fax

(505) 213-1523

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sara L Gonzales, R.N.,ADMINISTRATOR,

Title

Owner, Administrator, R.N.

Phone

(505) 436-3350

Specialties & licenses 1

Addresses

Other names 1

• Shiloh Home Health Doing business as

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1043615925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 LARGO ST STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028629",
            "telephone_number": "505-436-3350",
            "fax_number": "505-213-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LARGO ST STE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028629",
            "telephone_number": "505-436-3350",
            "fax_number": "505-213-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR, R.N.",
        "authorized_official_telephone_number": "505-436-3350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N.,ADMINISTRATOR,"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "R52598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiloh Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina G Sharp, RN
• Matthew Shell, DPT
• Shemot Psychosocial Interventions (4Corners Anti-Trafficking Multistate Crisis Intervention Network Task)
• Robert Edward Sherrill Jr., PHD
• Heather Sherwin, M.D.
• Gerald Shorty, LMHC
• James Shorty
• Jessica Nicole Shorty
• Ru Si, NP
• Amanda Mae Sickenger

• Skilled Nursing Facility in Farmington, NM
• Providers in Farmington, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.