Shalom Care Agency LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SHALOM CARE AGENCY LLC

Practice address

5903 Saddle Bred Dr
Houston, TX 77084-3188

Phone

(877) 306-3566

Fax

(877) 306-3566

NPI assigned

Nov 17, 2021

Organization subpart

No

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

Authorized official

Name

Tracy Aibuedefe

Title

Administrator

Phone

(408) 449-3467

Specialties & licenses 2

Addresses

Other names 1

• Shalom Care Agency LLC Doing business as

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1881350593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 SADDLE BRED DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843188",
            "telephone_number": "877-306-3566",
            "fax_number": "877-306-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 SADDLE BRED DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843188",
            "telephone_number": "877-306-3566",
            "fax_number": "877-306-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "AIBUEDEFE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-449-3467"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shalom Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalaish Pathak
• Asana Laleeka Shaleena
• Ori Shalev, D.D.S.
• Khayri Hamdi Shalhoub, M.D.
• Shalom and Shiloh Corporation
• Shalom Hospice
• Shalom Mental Health
• Shalom Mobile Health Ministry
• Shalonda Renee Johnson
• Nabeeha Shalwani

• Personal Care Attendant in Houston, TX
• Providers in Houston, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.