Shalom Cares Wellness Center, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SHALOM CARES WELLNESS CENTER, LLC

Practice address

14800 E Belleview Dr
Aurora, CO 80015-2258

Phone

(303) 680-5000

Fax

(303) 699-6577

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Marc Scott Penner

Title

President/ Ceo

Phone

(303) 680-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Diggins, OTR/L

  • Occupational Therapist
  • Aurora, CO
  • NPI 1134905334
  Medicare reassignment NPD
• Melinda Mary Kaemingk, PT

  • Physical Therapist
  • Denver, CO
  • NPI 1740507193
  Medicare reassignment NPD
• So Young Park, P.T.

  • Physical Therapist
  • Aurora, CO
  • NPI 1841415056
  Medicare reassignment NPD
• Jessica Lynn Selock, P.T., D.P.T., N.C.S.

  • Physical Therapist
  • Denver, CO
  • NPI 1609058502
  Medicare reassignment

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1306400502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 E BELLEVIEW DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152258",
            "telephone_number": "303-680-5000",
            "fax_number": "303-699-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 E BELLEVIEW DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152258",
            "telephone_number": "303-680-5000",
            "fax_number": "303-699-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM CARES WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "303-680-5000"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanam Shahid, MD
• Anum Shahzad, MD
• Shallom Care LLC
• Shalom C'Airs Oxygen, LLC
• Shalom Cares
• Shalom Family Inc.
• Shalom Family Inc. (Shalom Medical Supply)
• Shalom Park
• Shalom Park Professional Services LLC
• Shalom Therapies

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Aurora, CO
• Providers in Aurora, CO by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.