Organization Active NPI

Shalom Adult Health Center,LLC

  • Adult Day Care Clinic/Center
  • Mayfield HTS, OH
National Provider Identifier
1699981852
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SHALOM ADULT HEALTH CENTER,LLC
Doing business as
our home adult health center
Practice address
6005 Landerhaven Dr
Suite D
Mayfield HTS, OH 44124-4061
Phone
(216) 320-1570
Fax
(216) 320-1573
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Samantha Belfer
Title
Managing Partner
Phone
(216) 320-1570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH
Adult Day Care Clinic/Center 261QA0600X OH Primary

Addresses

Primary practice location

6005 Landerhaven Dr
Suite D
Mayfield HTS, OH 44124-4061

Mailing address

6005 Landerhaven Dr
Suite D
Mayfield HTS, OH 44124-4061
Phone (216) 320-1570

Other identifiers 1

IdentifierTypeStateIssuer
2225087MedicaidOH

Other names 1

  • our home adult health center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1699981852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 LANDERHAVEN DR",
            "address_2": "SUITE D",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244061",
            "telephone_number": "216-320-1570",
            "fax_number": "216-320-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 LANDERHAVEN DR",
            "address_2": "SUITE D",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441244061",
            "telephone_number": "216-320-1570",
            "fax_number": "216-320-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM ADULT HEALTH CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "BELFER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "216-320-1570"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225087",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "our home adult health center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.