Shalom Family Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

41-63222-0000 Issued in CO

Legal business name

SHALOM FAMILY INC.

Practice address

15057 East Colfax Ave.
Unit C
Aurora, CO 80011-5776

Phone

(303) 340-3898

Fax

(303) 364-1361

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Larisa Larina

Title

Co-Owner - President

Phone

(303) 340-3898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shalom Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Shalom Family Inc2 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.

• Shalom Family Inc.

  • Durable Medical Equipment & Medical Supplies
  • Aurora, CO
  • NPI 1003553124
  NPD tax ID

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1689792178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15057 EAST COLFAX AVE.",
            "address_2": "UNIT C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115776",
            "telephone_number": "303-340-3898",
            "fax_number": "303-364-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15057 EAST COLFAX AVE.",
            "address_2": "UNIT C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115776",
            "telephone_number": "303-340-3898",
            "fax_number": "303-364-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM FAMILY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "LARINA",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "CO-OWNER - PRESIDENT",
        "authorized_official_telephone_number": "303-340-3898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "41-63222-0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99539039",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shallom Care LLC
• Shalom C'Airs Oxygen, LLC
• Shalom Cares
• Shalom Cares Wellness Center, LLC
• Shalom Family Inc.
• Shalom Park
• Shalom Park Professional Services LLC
• Shalom Therapies
• Shalom Transportation LLC
• Rashina Shambe

• Durable Medical Equipment & Medical Supplies in Aurora, CO
• Providers in Aurora, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.