Shalom Homes, Inc

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

SHALOM HOMES, INC

Practice address

10400 Brookhaven LN
Upper Marlboro, MD 20772-6658

Phone

(301) 543-0741

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jestina Sayon Jalloh-Jamboria, CRNP

Title

Ceo/Don

Phone

(301) 543-0741

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1124536792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 BROOKHAVEN LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726658",
            "telephone_number": "301-543-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 BROOKHAVEN LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726658",
            "telephone_number": "301-543-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "JALLOH-JAMBORIA",
        "authorized_official_first_name": "JESTINA",
        "authorized_official_middle_name": "SAYON",
        "authorized_official_title_or_position": "CEO/DON",
        "authorized_official_telephone_number": "301-543-0741",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oriana A. Severino de la Cruz
• Mamadou Aly Seydi
• Abimbola Shadare
• Sapan Hemant Shah, M.D.
• Latoya Shallow, PMHNP-BC
• Shalom Nursing Care Inc
• Sharon Russell DDS PC
• Sharon Russell DDS PC
• Kirsten Sharp
• Kyerra Sharpe, BEHAVIOR TECHNICIAN

• Registered Nurse in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.