Shalom Home Care Corporation LLC Dba Shalom Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

230659 Issued in CO

Legal business name

SHALOM HOME CARE CORPORATION LLC DBA SHALOM HOME CARE

Practice address

134 Lamar Ave
Pueblo, CO 81004-1907

Phone

(719) 542-2715

Fax

(719) 543-6358

NPI assigned

Jan 18, 2016

Organization subpart

No

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

Authorized official

Name

Gilbert J Pacheco

Title

Owner/Operator

Phone

(719) 542-2715

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1114384476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 LAMAR AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041907",
            "telephone_number": "719-542-2715",
            "fax_number": "719-543-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 LAMAR AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041907",
            "telephone_number": "719-542-2715",
            "fax_number": "719-543-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOME CARE CORPORATION LLC DBA SHALOM HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "719-542-2715"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "230659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32771754",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aymen Shafqat
• Amil Hitesh Shah
• Harshal Shah, MD
• Nicholas Shahmohammadi
• Siamak Shahmohammadi, RPA
• Shalom Home Care, LLC
• Arlene Viray Shanklin, MD
• Craig S. Shapiro, M.D.
• Jeffrey A. Shapiro, MD
• Kevin A Shapiro, MD

• In Home Supportive Care Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.