Active NPI
Shalem Hospice Care, LLC
- Community Based Hospice Care Agency
- Sunnyvale, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SHALEM HOSPICE CARE, LLC
- Practice address
- 2611 N Belt Line Rd Ste 127a
Sunnyvale, TX 75182-9356 - Phone
- (214) 564-8296
- Fax
- (972) 285-2561
- NPI assigned
- Oct 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sheril John, RN
- Title
- Director, Owner
- Phone
- (972) 803-4620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2611 N Belt Line Rd Ste 127a
Sunnyvale, TX 75182-9356
Mailing address
12222 Merit Dr Ste 1200
Dallas, TX 75251-2231
Phone (972) 803-4620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180621002286 | TX | Part A Provider - Hospice | 4082969621 | Practice locations: Sunnyvale, TX |
Hospice certification: CCN 971502
- Legal name
- SHALEM HOSPICE CARE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 22, 2019
- Last certification
- May 12, 2022
- Ownership / control type
- Other
- Organization structure
- LLC
- Enrollment address
- 2611 N Belt Line Rd
Ste 127a
Sunnyvale, TX 75182-9356
Care Compare: Hospice
Medicare Care Compare- Listed as
- Shalem Hospice Care LLC
- Ownership
- Government
- Certified
- May 22, 2019
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
12222 Merit Dr
Ste 1200
Dallas, TX 75251
1919 S Shiloh Rd
Ste LB25
Garland, TX 75042
2611 N Belt Line Rd
Ste 127
Sunnyvale, TX 75182
Phone (877) 335-8220
2611 N Belt Line Rd
Ste 127A
Sunnyvale, TX 75182
Phone (214) 564-8296
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew Sawyer | 5% Or Greater Direct Ownership Interest | Dec 23, 2020 | 45% |
| Corporate Director | Aug 25, 2017 | ||
| Justina Arize | Contracted Managing Employee | Aug 25, 2017 | |
| Sheril John | 5% Or Greater Direct Ownership Interest | Dec 23, 2020 | 45% |
| Corporate Director | Aug 25, 2017 | ||
| W-2 Managing Employee | Aug 25, 2017 | ||
| Vaishali Kawaduji Bhusari | Contracted Managing Employee | Dec 23, 2020 | 5% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Dallas, TX
- NPI 1578724811
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1659881761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 1200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512231",
"telephone_number": "972-803-4620",
"fax_number": "972-285-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 N BELT LINE RD STE 127A",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751829356",
"telephone_number": "214-564-8296",
"fax_number": "972-285-2561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALEM HOSPICE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-03",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "SHERIL",
"authorized_official_title_or_position": "DIRECTOR, OWNER",
"authorized_official_telephone_number": "972-803-4620",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.