Robert Norman Sheakalee, ADMINISTRATOR

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

107201446 Issued in CA

Practice address

1549 Douglas Ave
Clovis, CA 93611-3124

Phone

(559) 307-0950

Fax

(661) 209-3076

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Green Gables Care Home

  • Assisted Living Facility
  • Clovis, CA
  • NPI 1205709318
  NPD
• Green Gables Care Home

  • Social Worker
  • Clovis, CA
  • NPI 1891380986
  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1144897257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 DOUGLAS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113124",
            "telephone_number": "559-307-0950",
            "fax_number": "661-209-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 DOUGLAS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113124",
            "telephone_number": "559-307-0950",
            "fax_number": "661-209-3076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1573 Ash Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936113107",
            "country_code": "US",
            "telephone_number": "559-307-0950",
            "fax_number": "661-209-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEAKALEE",
        "first_name": "ROBERT",
        "middle_name": "NORMAN",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "107201446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shambourger & Scott, Inc.
• Shawna Shambourger, MA
• Shamsuddin Khwaja M D Inc
• Mohita Sharma, DDS
• Sharmel Kasten DO PC
• Silva Sheklanian
• Amanda Shelton, IBCLC
• Pei Shan Shen
• Imani Shepherd
• Adam Sheppard, PT

• Home Health Aide in Clovis, CA
• Providers in Clovis, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.