SHALOM NURSING CARE INC (NPI# 1760922918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760922918 |
| Entity Type | Organization |
| Organization Name | SHALOM NURSING CARE INC |
| Other Organization Name | SHALOM NURSING CARE, INC |
| Practice Address |
10400 Brookhaven Ln Upper Marlboro MD 20772-6658 |
| Practice Telephone | 3015430741 |
| Mailing Telephone | 3015430741 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | MRS. JESTINA SAYON JALLOH-JAMBORIA (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3015430741 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | R203541 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 5893006600 | 05 |
| Other Name | Type Code |
|---|---|
| Shalom Nursing Care, Inc | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Shalom Nursing Care INC. | 8855 Annapolis Rd Ste 109, Lanham, Maryland 20706-2936 |
| Street Address |
10400 BROOKHAVEN LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-6658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326597220 | Jestina Sayon Jalloh-jamboria | Nurse Practitioner | 10400 Brookhaven Ln, Upper Marlboro, MD 20772-6658 | 2016-10-03 |
| 1124536792 | Shalom Homes, Inc | Social Worker | 10400 Brookhaven Ln, Upper Marlboro, MD 20772-6658 | 2018-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345302 | Jfm Optima Care, LLC | Home Health | 14653 Argos Pl, Upper Marlboro, MD 20774-8612 | 2020-10-28 |
| 1245839877 | Adaptive Life and Wellness LLC | Home Health | 14204 Marlborough Dr, Upper Marlboro, MD 20772-2813 | 2020-10-24 |
| 1992326631 | Anchor Home Health Services, LLC | Home Health | 15803 Buxton Pl, Upper Marlboro, MD 20774-8037 | 2020-05-05 |
| 1811518509 | Above All Home Health Services | Home Health | 15513 Symondsbury Way, Upper Marlboro, MD 20774-8045 | 2020-05-04 |
| 1619505823 | Impeccable Healthcare Services, Inc | Home Health | 12815 Village Square Rd, Upper Marlboro, MD 20772-5158 | 2020-04-01 |
| 1619517208 | Michelle Melissa Lawrence | Home Health | 12610 Cambleton Dr, Upper Marlboro, MD 20774-1730 | 2020-01-10 |
| 1013556570 | Divine Vision Nurse Staffing LLC | Home Health | 211 Dauntly St, Upper Marlboro, MD 20774-1809 | 2020-01-02 |
| 1881241628 | Spring Trust Healthcare Services, Inc | Home Health | 10106 Spring Water Ln, Upper Marlboro, MD 20772-6675 | 2019-08-26 |
| 1992358691 | Trusteck Care Nursing Inc. | Home Health | 511 Dennis Magruder Dr, Upper Marlboro, MD 20774-2110 | 2019-07-22 |
| 1538627690 | Anvient Home Healthcare Services, LLC | Home Health | 4619 Forest Pines Dr, Upper Marlboro, MD 20772-2676 | 2019-03-07 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
Please comment or provide details below to improve the information on SHALOM NURSING CARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.