Provider Demographics
NPI:1861228702
Name:SHALOM HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:SHALOM HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-426-8774
Mailing Address - Street 1:1773 RIVERWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:KINGS MILLS
Mailing Address - State:OH
Mailing Address - Zip Code:45034-9772
Mailing Address - Country:US
Mailing Address - Phone:513-426-8774
Mailing Address - Fax:
Practice Address - Street 1:1773 RIVERWOOD TRL
Practice Address - Street 2:
Practice Address - City:KINGS MILLS
Practice Address - State:OH
Practice Address - Zip Code:45034-9772
Practice Address - Country:US
Practice Address - Phone:513-426-8774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No374U00000XNursing Service Related ProvidersHome Health Aide
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)