Shalom Family Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHALOM FAMILY CARE

Practice address

35106 Wind Walker Est
Prairie Du Chien, WI 53821-8078

Phone

(608) 412-1418

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Timothy J Cummuta

Title

Business Manager

Phone

(608) 412-1418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1134515547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35106 WIND WALKER EST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538218078",
            "telephone_number": "608-412-1418",
            "fax_number": "608-729-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35106 WIND WALKER EST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538218078",
            "telephone_number": "608-412-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "CUMMUTA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "608-412-1418"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.