Shaddai Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHADDAI HOME CARE SERVICES LLC

Practice address

521 N Market St Apt 16
Inglewood, CA 90302-3056

Phone

(323) 612-9579

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Ngowari Blessing Amadi-Epelle, MD

Title

SNR Manager

Phone

(323) 612-9579

Specialties & licenses 1

Addresses

Other names 1

• SHADDAI HOME CARE SERVICES LLC Other name

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1447067517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MARKET ST APT 16",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023056",
            "telephone_number": "323-612-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MARKET ST APT 16",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023056",
            "telephone_number": "323-612-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADDAI HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "AMADI-EPELLE",
        "authorized_official_first_name": "NGOWARI",
        "authorized_official_middle_name": "BLESSING",
        "authorized_official_title_or_position": "SNR MANAGER",
        "authorized_official_telephone_number": "323-612-9579",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHADDAI HOME CARE SERVICES LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Inglewood, CA
• Providers in Inglewood, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.