SHALOM HOUSE INC #2 NPI 1669863486

NPI Information

NPI: 1669863486
Provider Name: SHALOM HOUSE INC #2

Doing Business As: SHALOM HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 26D2096021

Address:
13905 E 39TH ST S STE 104
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 272-8181
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SHALOM HOUSE INC #2 is a hospice care community based in Independence, MO. SHALOM HOUSE INC #2 NPI is 1669863486. The provider is registered as an organization entity type.
The provider Is Doing Business As Shalom Hospice.

The provider's business location address is:

13905 E 39TH ST S STE 104
INDEPENDENCE, MO
ZIP 64055-378
Phone: (816) 272-8181
Fax: (816) 256-4182

The provider's authorized official is Norma L Poindexter .
The authorized official title is Owner and has the following contact phone number (404) 630-3520.

The CLIA number assigned to this NPI record is 26D2096021 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2015 and was last updated on 8/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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