Organization Active NPI

Shammah Health Care Services, Inc

  • Home Health Agency
  • Rockford, IL
National Provider Identifier
1720555303
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHAMMAH HEALTH CARE SERVICES, INC
Practice address
518 N Court St
Rockford, IL 61103-6808
Phone
(815) 299-0134
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Miss Shelia F Brown, NURSE
Title
Facilitator
Phone
(815) 299-0134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

518 N Court St
Rockford, IL 61103-6808

Mailing address

518 N Court St
Rockford, IL 61103-6808
Phone (815) 299-0134

National Provider Directory

National Provider Directory

Locations

518 N Court St
Rockford, IL 61103
Phone (815) 299-0134

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1720555303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N COURT ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036808",
            "telephone_number": "815-299-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N COURT ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036808",
            "telephone_number": "815-299-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMMAH HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FACILITATOR",
        "authorized_official_telephone_number": "815-299-0134",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.