Shekinah Global Healthcare Ventures

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHEKINAH GLOBAL HEALTHCARE VENTURES

Practice address

9612 Foothill Blvd Unit 110
Rancho Cucamonga, CA 91730-3547

Phone

(909) 231-0098

Fax

(909) 587-2016

NPI assigned

Sep 14, 2020

Organization subpart

Yes

Parent organization

SHEKINAH GLOBAL HEALTHCARE VENTURESAs reported in NPPES

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

Authorized official

Name

Dr. Bolaji Gabriel Babatunde, DR. OF HEALTHCA ADMI

Title

Ceo/President

Phone

(909) 231-0098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757669

Legal name

SHEKINAH GLOBAL HEALTHCARE VENTURES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 7, 2023

Last certification

Aug 30, 2023

Organization structure

CorporationProprietary

Enrollment address

9612 Foothill Blvd
Ste 110
Rancho Cucamonga, CA 91730-3594

Listed as

Shekinah Global Healthcare VenturesCCN 757669

Ownership

-

Certified

Sep 7, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Shekinah Durable Medical and Dental Equipments

  • Durable Medical Equipment & Medical Supplies
  • Rancho Cucamonga, CA
  • NPI 1174139687
  NPD tax ID
• Shekinah Hospices Healthcare Agency

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
  • NPI 1265048771
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1275148504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15176 SAPLING LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365224",
            "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 UNIT 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303547",
            "telephone_number": "909-231-0098",
            "fax_number": "909-587-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH GLOBAL HEALTHCARE VENTURES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEKINAH GLOBAL HEALTHCARE VENTURES",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "DR. OF HEALTHCA ADMI"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Sharpe
• Brian Terry Shaw, D.O.,
• James Chung Shaw, D.D.S.
• Victoria Shaw
• Shekinah Durable Medical and Dental Equipments
• Shekinah Hospices Healthcare Agency
• Shelley Martin, Licensed Marriage and Family Therapist, Inc
• Corliss R. Shelton, MD
• Mariah Shelton
• Sasha Sherman, RBT

• Home Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.