Active NPI
Shalom Homecare Providers, LLC
- In Home Supportive Care Agency
- Darby, PA
National Provider Identifier
1255853602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SHALOM HOMECARE PROVIDERS, LLC
- Practice address
- 423 Walnut St
Darby, PA 19023-2828 - Phone
- (484) 540-7766
- NPI assigned
- Jul 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jemama Yancy
- Title
- Owner
- Phone
- (267) 250-5040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
423 Walnut St
Darby, PA 19023-2828
Mailing address
423 Walnut St
Darby, PA 19023-2828
Phone (484) 540-7766
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1255853602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 WALNUT ST",
"city": "DARBY",
"state": "PA",
"postal_code": "190232828",
"telephone_number": "484-540-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 WALNUT ST",
"city": "DARBY",
"state": "PA",
"postal_code": "190232828",
"telephone_number": "484-540-7766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM HOMECARE PROVIDERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-07",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "YANCY",
"authorized_official_first_name": "JEMAMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-250-5040"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.