Shalom Hospice Missouri

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SHALOM HOSPICE MISSOURI

Doing business as

Shalom Hospice MO

Practice address

13905 E 39TH St S Ste 105
Independence, MO 64055-3378

Phone

(816) 882-3861

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Marquita DavisNPI 1891470753

Title

Administrator

Phone

(816) 882-3861

Specialties & licenses 1

Addresses

Other names 1

• Shalom Hospice MO Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marquita Davis

  • Community Based Hospice Care Agency
  • Independence, MO
  • NPI 1891470753

  Hospice Care, Community Based

  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1659056513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 E 39TH ST S STE 105",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 E 39TH ST S STE 105",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553378",
            "telephone_number": "816-882-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOSPICE MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-882-3861"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Hospice MO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dipak Shah, MD
• Pankti Shah, D.O
• Muhammad Salman Shahid
• Mohammed Ashwaq Hussain Shaik
• Ghazal Abbas Shaikh, M.D.
• Shalom House Inc #2
• Amanda Shapley, LMT
• Aaron Sharky, D.D.S.
• Kimberlee Ann Sheahon, DPT
• James Gilbert Sheffer III, D.C.

• Community Based Hospice Care Agency in Independence, MO
• Providers in Independence, MO by specialty
• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.