Active NPI
Shalom Adult Health Center,LLC
- Adult Day Care Clinic/Center
- Mayfield HTS, OH
National Provider Identifier
1699981852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2225087 | Medicaid | OH |
Other names 1
- our home adult health center
National Provider Directory
National Provider DirectoryNPI 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.