Shaulis Ia Skilled Nursing Facility, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SHAULIS IA SKILLED NURSING FACILITY, LLC

Practice address

2950 W Shaulis Rd
Waterloo, IA 50701-9702

Phone

(319) 234-4495

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Chaim Rajchenbach

Title

Principal

Phone

(847) 745-7000

Specialties & licenses 1

Addresses

Tax ID family

Harmony House Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shaulis Ia Skilled Nursing Facility, LLC

  • Skilled Nursing Facility
  • Waterloo, IA
  • NPI 1639945025
  NPD tax ID

Locations

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1649045485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 W SHAULIS RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W SHAULIS RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019702",
            "telephone_number": "319-234-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAULIS IA SKILLED NURSING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-745-7000"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Sharar, CADC
• Nura Sharma
• Prakash Punj Sharma, M.D.
• Morgan Marie Sharp, FNP
• Shaulis Ia Skilled Nursing Facility, LLC
• Jennifer Lea Shaw, LISW
• Tera Sheetz
• Sage Shemak
• Andrew Tim Shen, M.D.
• Julie Anna Shepard, LPN

• Intellectual Disabilities Intermediate Care Facility in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Intellectual Disabilities Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.