Shalom Coker 24 Hours Special Needs Daycare

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

LVN#221824 Issued in TX

Legal business name

SHALOM COKER 24 HOURS SPECIAL NEEDS DAYCARE

Practice address

3103 Gregory LN
Grand Prairie, TX 75052-5742

Phone

(972) 374-6955

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Shalom Osunde

Title

President and Ceo

Phone

(972) 374-6955

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1720496409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 GREGORY LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525742",
            "telephone_number": "972-374-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 GREGORY LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525742",
            "telephone_number": "972-374-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM COKER 24 HOURS SPECIAL NEEDS DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "OSUNDE",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "972-374-6955"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "LVN#221824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Sewoyeba, RN
• Debra E. Seznik, D.D.S.
• Riya Sanjay Shah
• Isheta Shahed, M.D.
• Karim Shallwani, D.D.S.
• Shaneka Marks Moss DDS PC
• Raushanah Taherrah Shareef-Jefferson, RDH, IBCLC
• Kathleen Elizabeth Sharp, MD
• Wendy Michele Sharp, MS CCC/SLP
• Shebah Care LLC

• Intellectual Disabilities Intermediate Care Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.