NPIMap

Organization Active NPI

Shalom Hospice of Greater Knoxville LLC

  • Community Based Hospice Care Agency
  • Knoxville, TN
National Provider Identifier
1689355620
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SHALOM HOSPICE OF GREATER KNOXVILLE LLC
Practice address
8351 E Walker Springs LN Ste 402
Knoxville, TN 37923-3142
Phone
(510) 499-9977
Fax
(865) 381-1204
NPI assigned
Jul 31, 2023
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Samuel Stern
Title
Ceo
Phone
(510) 499-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

8351 E Walker Springs LN Ste 402
Knoxville, TN 37923-3142

Mailing address

8351 E Walker Springs LN Ste 402
Knoxville, TN 37923-3142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213001814 TN Part A Provider - Hospice 0840633293 Practice locations: Knoxville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689355620. Details of each certification follow.

Hospice certification: CCN 441609

Legal name
SHALOM HOSPICE OF GREATER KNOXVILLE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 11, 2024
Last certification
Apr 11, 2024
Organization structure
LLCProprietary
Incorporated
Jan 12, 2023 in TN
Enrollment address
8351 E Walker Springs LN
Ste 402
Knoxville, TN 37923-3142

Care Compare: Hospice

Medicare Care Compare
Listed as
Shalom Hospice of Greater Knoxville LLCCCN 441609 · All quality measures
Certified
Apr 11, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2293124Shalom Hospice of Greater Knoxville LLC8351 E Walker Springs Le, Ste 402, Knoxville, TN 37923Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

8351 E Walker Springs Ln
Ste 402
Knoxville, TN 37923
Phone (865) 551-7001

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samuel Stern Individual 5% Or Greater Direct Ownership InterestCeo Jan 12, 2023 5%
Corporate OfficerCeo Jan 12, 2023
Corporate Director Jan 12, 2023
W-2 Managing Employee Jan 12, 2023
Operational/Managerial Control Jan 12, 2023
Sygs 2023 Trust Organization, Lawrence, NY 5% Or Greater Direct Ownership Interest Jan 12, 2023 95%

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1689355620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8351 E WALKER SPRINGS LN STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233142",
            "fax_number": "865-381-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8351 E WALKER SPRINGS LN STE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233142",
            "telephone_number": "510-499-9977",
            "fax_number": "865-381-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOSPICE OF GREATER KNOXVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-499-9977"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.