Shalom Community Care Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

100000016879 Issued in TN

Legal business name

SHALOM COMMUNITY CARE INC

Practice address

2201 Murfreesboro Pike Ste A222
Nashville, TN 37217-3463

Phone

(615) 678-5041

Fax

(615) 457-1193

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Pobi

Title

Executive Director

Phone

(615) 499-2712

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1841794724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURFREESBORO PIKE STE A222",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173463",
            "telephone_number": "615-678-5041",
            "fax_number": "615-457-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MURFREESBORO PIKE STE A222",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173463",
            "telephone_number": "615-678-5041",
            "fax_number": "615-457-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "POBI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-499-2712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "100000016879",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "TN",
            "license": "100000016879",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "100000016879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalid N Shaikh, DDS
• Jadori Shakespear
• Jami Shakibi, M.D.
• Susan Shakibi, FNP
• Irshad A Shakir, M.D.
• Carlyn Owens Shaltaf, PA
• Steven Shampain
• Danial Shams, M.D.
• Fatima Shamsuddin
• Haleema Shamsuddin

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nashville, TN
• Providers in Nashville, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.