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Contact Information

SHALOM NURSING CARE INC
10400 BROOKHAVEN LN
UPPER MARLBORO, MD20772-6658
 Phone: 301-543-0741
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Home Health

163WH0200X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for SHALOM NURSING CARE INC

NPI # 1760922918
LBN Legal business name SHALOM NURSING CARE INC
Authorized official JESTINA JALLOH-JAMBORIA - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2017
Last updated 09/03/2019 - About 7 years ago
Identifiers
MD License # R203541
MD Medicaid 5893006600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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