Shalom Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

31083601 Issued in PA

Legal business name

SHALOM HOMECARE LLC

Practice address

126 Penn Ave
Telford, PA 18969-1977

Phone

(215) 572-1069

Fax

(267) 382-1907

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Susan Mutua

Title

Administration Manager

Phone

(215) 572-1069

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1083064158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ADAMS AVE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641805",
            "telephone_number": "267-642-2645",
            "fax_number": "267-382-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PENN AVE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691977",
            "telephone_number": "215-572-1069",
            "fax_number": "267-382-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MUTUA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATION MANAGER",
        "authorized_official_telephone_number": "215-572-1069"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "31083601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly H Rose, MD
• Susan Marie Rush, OTR/L
• Kristi Ruth, RD, CNSC, LDN
• Meghan Schmidt
• Roseann Schmidt, D.C.
• Dana Caroline Siegel, M.ED., BCBA, LBS
• Carrie Skrzat
• Eileen K Souder, CRNP
• Emily Joy Souder
• Souderton Community Ambulance Association Inc

• In Home Supportive Care Agency in Telford, PA
• Providers in Telford, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.