Shalom Home Care LLC

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

Legal business name

SHALOM HOME CARE LLC

Practice address

6346 W Catalina Dr
Phoenix, AZ 85033-5712

Phone

(240) 559-7617

NPI assigned

Mar 12, 2024

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scovia Basaliza

Title

Owner

Phone

(240) 559-7617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1518725613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 W CATALINA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6346 W CATALINA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335712",
            "telephone_number": "240-559-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BASALIZA",
        "authorized_official_first_name": "SCOVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-559-7617"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakti Singh MD PC (Premier Gastro Care)
• Hazael Shakur
• Esther Shalamov, FNP
• Jacob Charles Shalkevich, MD
• Shalom DME Supplier Inc.
• Shalom Treatment Center LLC
• Sham M Vengurlekar, MD, PC
• Rachel Weinstein Shamah, MS OTRL
• Younus Mohammed Khaleel Shamam
• Quentin C Shambley

• Rehabilitation Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Rehabilitation Registered Nurse in Arizona

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