NPIMap

Organization Active NPI

Shekinah Durable Medical and Dental Equipments

  • Durable Medical Equipment & Medical Supplies
  • Rancho Cucamonga, CA
National Provider Identifier
1174139687
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHEKINAH DURABLE MEDICAL AND DENTAL EQUIPMENTS
Practice address
9612 Foothill Blvd
Rancho Cucamonga, CA 91730-3547
Phone
(909) 231-0098
NPI assigned
Sep 21, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SHEKINAH GLOBAL HEALTHCARE VENTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Bolaji Gabriel Babatunde, DHA, MS, BSN, RNNPI 1164095329
Title
Ceo/President
Phone
(909) 231-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9612 Foothill Blvd
Rancho Cucamonga, CA 91730-3547

Mailing address

9612 Foothill Blvd Unit 10
Rancho Cucamonga, CA 91730-3547
Phone (909) 231-0098

National Provider Directory

National Provider Directory
Tax ID family
Shekinah Hospices Healthcare Agency3 organizations share this tax ID, including this one
Part of
Shekinah Hospices Healthcare Agency

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9612 Foothill Blvd
Rancho Cucamonga, CA 91730
Phone (909) 231-0098

9612 Foothill Blvd
Unit 10
Rancho Cucamonga, CA 91730
Phone (909) 231-0098

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1174139687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9612 FOOTHILL BLVD UNIT 10",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303547",
            "telephone_number": "909-231-0098",
            "fax_number": "909-587-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 FOOTHILL BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303547",
            "telephone_number": "909-231-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH DURABLE MEDICAL AND DENTAL EQUIPMENTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEKINAH GLOBAL HEALTHCARE VENTURES",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "BABATUNDE",
        "authorized_official_first_name": "BOLAJI",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-231-0098",
        "authorized_official_credential": "DHA, MS, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.