Shalimare Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

SHALIMARE INC.

Practice address

613 Carolina Ave
Fort Myers, FL 33905-4015

Phone

(239) 839-4997

Fax

(239) 693-1121

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ellen Provencher

Title

President of Shalimare Inc.

Phone

(239) 839-4997

Specialties & licenses 1

Addresses

Other names 1

• Shalimare Inc. Former legal business name

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578760187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CAROLINA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339054015",
            "telephone_number": "239-839-4997",
            "fax_number": "239-693-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CAROLINA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339054015",
            "telephone_number": "239-839-4997",
            "fax_number": "239-693-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALIMARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROVENCHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT OF SHALIMARE INC.",
        "authorized_official_telephone_number": "239-839-4997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalimare Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Smita Shah, MB,BS
• Sunny Shah
• Shahriar Shahami, DDS
• Michael P. Shain, PH.D.
• Angela Shalabi Shalabi, RPH
• Shalom Behavioral Wellness Center LLC.
• Isabella Mukanda Shamambo
• Khadijah Fatimah Shamseddine, M.D.
• Ryan J. Shamus, P.A.
• Sara Shanahan, CNM

• Child Intellectual and/or Developmental Disabilities Respite Care in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.