Taf Shalom Healthcare Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3001437 Issued in IL

Legal business name

TAF SHALOM HEALTHCARE SERVICES, INC

Practice address

14810 Cicero Ave
Unit 2W
Oak Forest, IL 60452-1400

Phone

(708) 925-9448

Fax

(708) 925-9448

NPI assigned

Jan 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Olufunke Adebisi Odukoya, M.D.

Title

Director

Phone

(708) 925-9448

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1483747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483747200000",
    "number": "1841736469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE",
            "address_2": "UNIT 2W",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521400",
            "telephone_number": "708-925-9448",
            "fax_number": "708-925-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE",
            "address_2": "UNIT 2W",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521400",
            "telephone_number": "708-925-9448",
            "fax_number": "708-925-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAF SHALOM HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-07",
        "last_updated": "2017-01-07",
        "status": "A",
        "authorized_official_last_name": "ODUKOYA",
        "authorized_official_first_name": "OLUFUNKE",
        "authorized_official_middle_name": "ADEBISI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-925-9448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000538",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bernadette Talley
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• Shelby Taylor Jr., PHARMD
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• In Home Supportive Care Agency in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; 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.