Shallomstar Healthcare Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

232509 Issued in FL

Legal business name

SHALLOMSTAR HEALTHCARE AGENCY

Practice address

1214 Baranova Rd
Ocoee, FL 34761-1867

Phone

(407) 443-6703

Fax

(407) 347-3692

NPI assigned

May 2, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Rithe F. Leon

Title

Manager

Phone

(407) 443-6703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LLC. Doing business as

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1710322888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1222",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347611222",
            "telephone_number": "407-443-6703",
            "fax_number": "407-347-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 BARANOVA RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347611867",
            "telephone_number": "407-443-6703",
            "fax_number": "407-347-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALLOMSTAR HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "RITHE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-443-6703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "232509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003567200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dashawn Serrano
• Alisha Danielle Serviss
• Hanish Sethi, MD
• Rita Severe
• Khurram Shahzad, M.D.
• Talha Shamim, M.D.
• Yasheka N Shand, FNP
• Shannon L Boyer MD
• Anthony Sharp, NP-C
• Adam Shaw Sr., PT

• Home Health Agency in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.