Provider Demographics
NPI:1174404347
Name:SHILOH HOME PLUS LLC
Entity type:Organization
Organization Name:SHILOH HOME PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR RN
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-708-1509
Mailing Address - Street 1:1306 BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:KS
Mailing Address - Zip Code:66538-1503
Mailing Address - Country:US
Mailing Address - Phone:785-206-1061
Mailing Address - Fax:785-334-0026
Practice Address - Street 1:1306 BRANCH ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:KS
Practice Address - Zip Code:66538-1503
Practice Address - Country:US
Practice Address - Phone:785-206-1061
Practice Address - Fax:785-334-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility