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SHALOM ADULT HEALTH CENTERLLC NPI 1699981852


NPI Information

NPI: 1699981852
Provider Name: SHALOM ADULT HEALTH CENTER,LLC

Doing Business As: OUR HOME ADULT HEALTH CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
6005 LANDERHAVEN DR
SUITE D
MAYFIELD HTS, OH
ZIP 44124
Phone: (216) 320-1570
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SHALOM ADULT HEALTH CENTER,LLC is an adult day care clinic center in Mayfield Hts, OH. SHALOM ADULT HEALTH CENTER,LLC NPI is 1699981852. The provider is registered as an organization entity type.
The provider Is Doing Business As Our Home Adult Health Center.

The provider's business location address is:

6005 LANDERHAVEN DR
SUITE D
MAYFIELD HTS, OH
ZIP 44124-061
Phone: (216) 320-1570
Fax: (216) 320-1573

The provider's authorized official is Samantha Belfer .
The authorized official title is Managing Partner and has the following contact phone number (216) 320-1570.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 6/30/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthOHIONo
2261QA0600XClinic/CenterAdult Day CareOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12225087MEDICAIDOHIO

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

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