NPIMap

Organization Active NPI

Shalom Family Care LLC

  • In Home Supportive Care Agency
  • Tracy, CA
National Provider Identifier
1346842838
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHALOM FAMILY CARE LLC
Practice address
348 Glenbriar Cir
Tracy, CA 95377-7051
Phone
(443) 802-5991
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Georgiana KokoNPI 1205171261
Title
Owner/President
Phone
(443) 802-5991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

348 Glenbriar Cir
Tracy, CA 95377-7051

Mailing address

348 Glenbriar Cir
Tracy, CA 95377-7051
Phone (443) 802-5991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1346842838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 GLENBRIAR CIR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777051",
            "telephone_number": "443-802-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 GLENBRIAR CIR",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777051",
            "telephone_number": "443-802-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "KOKO",
        "authorized_official_first_name": "GEORGIANA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "443-802-5991"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.