Shalom Home Care, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SHALOM HOME CARE, LLC

Practice address

134 Lamar Avenue
Pueblo, CO 81004-2389

Phone

(719) 542-2715

Fax

(719) 543-6358

NPI assigned

Aug 11, 2026

Organization subpart

No

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

Authorized official

Name

Melany S Wong

Title

Administrator

Phone

(720) 635-4734

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1699690545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 274",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348998",
            "telephone_number": "720-635-4734",
            "fax_number": "720-420-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 LAMAR AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042389",
            "telephone_number": "719-542-2715",
            "fax_number": "719-543-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MELANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-635-4734"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000153959",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amil Hitesh Shah
• Harshal Shah, MD
• Nicholas Shahmohammadi
• Siamak Shahmohammadi, RPA
• Shalom Home Care Corporation LLC Dba Shalom Home Care
• Arlene Viray Shanklin, MD
• Craig S. Shapiro, M.D.
• Jeffrey A. Shapiro, MD
• Kevin A Shapiro, MD
• Dorothy Eamon Sharp, COTA/L

• Assisted Living Facility (Mental Illness) in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Assisted Living Facility (Mental Illness) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.