Organization Active NPI

Shalem Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Sunnyvale, TX
National Provider Identifier
1659881761
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Dec 5, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
2611 N Belt Line Rd
Ste 127a
Sunnyvale, TX 75182-9356

Care Compare: Hospice

Medicare Care Compare
Listed as
Shalem Hospice Care LLCCCN 971502 · All quality measures
Ownership
Government
Certified
May 22, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Matthew Sawyer Individual 5% Or Greater Direct Ownership Interest Dec 23, 2020 45%
Corporate DirectorVP Secretary Treasurer Aug 25, 2017
Justina Arize Individual Contracted Managing EmployeeAlternate Director of Nursing Aug 25, 2017
Sheril John Individual 5% Or Greater Direct Ownership InterestPresident Dec 23, 2020 45%
Corporate DirectorPresident Aug 25, 2017
W-2 Managing EmployeeAd;Director of Nursing Aug 25, 2017
Vaishali Kawaduji Bhusari Individual Contracted Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.