Organization Active NPI

Shalom Care Services,LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Methuen, MA
National Provider Identifier
1740617125
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SHALOM CARE SERVICES,LLC
Practice address
272 Broadway Unit 996
Methuen, MA 01844-8044
Phone
(617) 519-8284
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Jeannot Jean Pierre, MAP CERTIFIED
Title
President
Phone
(617) 519-8284

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 38580427000 MA

Addresses

Primary practice location

272 Broadway Unit 996
Methuen, MA 01844-8044

Mailing address

272 Broadway Unit 996
Methuen, MA 01844-8044
Phone (617) 519-8284

Other names 1

  • Relief Agency Doing business as

National Provider Directory

National Provider Directory

Locations

272 Broadway
Unit 996
Methuen, MA 01844
Phone (617) 519-8284

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1740617125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BROADWAY UNIT 996",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018448044",
            "telephone_number": "617-519-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BROADWAY UNIT 996",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018448044",
            "telephone_number": "617-519-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "JEAN PIERRE",
        "authorized_official_first_name": "JEANNOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-519-8284",
        "authorized_official_credential": "MAP CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MA",
            "license": "38580427000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relief Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.