Shiloh Care Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

300503 Issued in WA

Legal business name

SHILOH CARE INC

Practice address

16505 SE 30TH St
Unit 1
Bellevue, WA 98008-5625

Phone

(425) 643-4669

Fax

(425) 643-8693

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jean Boldor

Title

Menager

Phone

(425) 643-4669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174740112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 SE 30TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085625",
            "telephone_number": "425-643-4669",
            "fax_number": "425-643-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16505 SE 30TH ST",
            "address_2": "UNIT 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085625",
            "telephone_number": "425-643-4669",
            "fax_number": "425-643-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLDOR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MENAGER",
        "authorized_official_telephone_number": "425-643-4669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "300503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiah Shigeta-Koizumi
• Helen Shih, MD
• Kathy Shih, M.S.
• Scott T Shih, MD
• Scott William Shillito
• Uhng-Kyu Shim, MD
• Jyun Shimizu, LAC
• Ashok Shimoji-Krishnan, MD, MPH
• Christie L Shin, MA, CCC-SLP
• Heather Shin

• Adult Care Home Facility in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.