Shalom Springs Adult Family Home Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHALOM SPRINGS ADULT FAMILY HOME INC.

Practice address

909 138TH St E
Tacoma, WA 98445-2778

Phone

(678) 431-8085

Fax

(253) 267-1453

NPI assigned

Apr 21, 2023

Organization subpart

No

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

Authorized official

Name

Dickson Kimandi Mwirabua, ADMINISTRATOR

Title

Registered Agent

Phone

(678) 431-8085

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1720775455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 138TH ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984452778",
            "telephone_number": "678-431-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 138TH ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984452778",
            "telephone_number": "678-431-8085",
            "fax_number": "253-267-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM SPRINGS ADULT FAMILY HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MWIRABUA",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_middle_name": "KIMANDI",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "678-431-8085",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Shahan, BSN
• Sabrina Shaheen, M.D.
• Azima Shaji, MD
• Amirali Shakouripartovi, MD
• Shalom Adult Family Home 1 LLC
• Zain Shamoon, LMFT
• Shanachie Psychological Services
• Guiselda B Shank, BSN RN
• Mamta Shankar, BPHARM
• Gloria Shanks, B.A.

• In Home Supportive Care Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.