Organization Active NPI

Shalom Home Care

  • In Home Supportive Care Agency
  • Sioux Falls, SD
National Provider Identifier
1154292209
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHALOM HOME CARE
Practice address
8213 E Mystic Dr
Sioux Falls, SD 57110-6290
Phone
(605) 215-9955
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Misrak Desta
Title
Manager
Phone
(605) 215-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8213 E Mystic Dr
Sioux Falls, SD 57110-6290

Mailing address

8213 E Mystic Dr
Sioux Falls, SD 57110-6290
Phone (605) 215-9955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1154292209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 E MYSTIC DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106290",
            "telephone_number": "605-215-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8213 E MYSTIC DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106290",
            "telephone_number": "605-215-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "MISRAK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-215-9955"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.