Organization Active NPI

Shalom Home and Community Care Services, LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1629806609
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHALOM HOME AND COMMUNITY CARE SERVICES, LLC
Practice address
3247 Deserette CT
Columbus, OH 43224-3779
Phone
(424) 361-4002
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Authorized official

Name
Elegant Afriyie
Title
Director
Phone
(424) 361-4002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3247 Deserette CT
Columbus, OH 43224-3779

Mailing address

3247 Deserette CT
Columbus, OH 43224-3779
Phone (424) 361-4002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1629806609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 DESERETTE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243779",
            "telephone_number": "424-361-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 DESERETTE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243779",
            "telephone_number": "424-361-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOME AND COMMUNITY CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "AFRIYIE",
        "authorized_official_first_name": "ELEGANT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "424-361-4002"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.