Provider Demographics
NPI:1609753656
Name:SHALOM HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:SHALOM HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRABIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAILY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-520-5663
Mailing Address - Street 1:7016 SWEETWATER DR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-9229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7016 SWEETWATER DR
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50320-9229
Practice Address - Country:US
Practice Address - Phone:515-520-5663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care