Organization Active NPI

Shekinah Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Conroe, TX
National Provider Identifier
1114757788
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SHEKINAH CARE LLC
Practice address
15524 Salmon Springs Dr
Conroe, TX 77302-2208
Phone
(346) 509-6865
NPI assigned
Aug 7, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Magalie ValesNPI 1013239011
Title
Ceo
Phone
(346) 509-6865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

15524 Salmon Springs Dr
Conroe, TX 77302-2208

Mailing address

15524 Salmon Springs Dr
Conroe, TX 77302-2208

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1114757788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15524 SALMON SPRINGS DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773022208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15524 SALMON SPRINGS DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773022208",
            "telephone_number": "346-509-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "VALES",
        "authorized_official_first_name": "MAGALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-509-6865"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.