Shalom Nursing Care LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SHALOM NURSING CARE LLC

Practice address

6475 New Hampshire Ave Ste 350F
Hyattsville, MD 20783-3282

Phone

(301) 957-5824

Fax

(240) 468-7255

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Eddie LavalyNPI 1851163752

Title

Managing Director

Phone

(301) 957-5824

Specialties & licenses 5

Addresses

Other names 2

• Shalom Nursing Care LLC Doing business as
• Shalom Nursing Care Inc Former legal business name

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eddie Lavaly

  • Home Health Registered Nurse
  • Lanham, MD
  • NPI 1851163752
  NPD Authorized official
• Jestina Sayon Jalloh-Jamboria, CRNP

  • Family Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1326597220
  NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1710644240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE 350F",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833282",
            "telephone_number": "301-957-5824",
            "fax_number": "240-468-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE 350F",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833282",
            "telephone_number": "301-957-5824",
            "fax_number": "240-468-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM NURSING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "LAVALY",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-957-5824"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Comcast",
            "affiliation": "Y",
            "affiliationName": "Shalom Nursing care LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6475 New Hampshire Ave Ste 350F",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207833282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shalom Nursing Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom Nursing Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Occupational Therapist in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.