Active NPI
Shalom Nursing Care Inc
- Home Health Agency
- Upper Marlboro, MD
National Provider Identifier
1760922918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R203541
- Legal business name
- SHALOM NURSING CARE INC
- Practice address
- 10400 Brookhaven LN
Upper Marlboro, MD 20772-6658 - Phone
- (301) 543-0741
- NPI assigned
- Mar 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jestina Sayon Jalloh-Jamboria, NP
- Title
- Nurse Practitioner
- Phone
- (301) 543-0741
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | R203541 | MD | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
10400 Brookhaven LN
Upper Marlboro, MD 20772-6658
Mailing address
10400 Brookhaven LN
Upper Marlboro, MD 20772-6658
Phone (301) 543-0741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5893006600 | Medicaid | MD |
Other names 1
- Shalom Nursing Care, Inc
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Upper Marlboro, MD
- NPI 1326597220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567468800000",
"number": "1760922918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 BROOKHAVEN LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726658",
"telephone_number": "301-543-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 BROOKHAVEN LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726658",
"telephone_number": "301-543-0741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM NURSING CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-06",
"last_updated": "2019-09-03",
"status": "A",
"authorized_official_last_name": "JALLOH-JAMBORIA",
"authorized_official_first_name": "JESTINA",
"authorized_official_middle_name": "SAYON",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "301-543-0741",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "R203541",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5893006600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shalom Nursing Care, Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.