National Provider Identifier Database

CASA DE SHALOM LLC
Hospice Care, Community Based


Contact Information

CASA DE SHALOM, LLC
4102 LAS CIMBRAS CT SE
RIO RANCHO, NM87124-6908
Phone: 505-715-9649
Fax: 505-994-9430
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CASA DE SHALOM, LLC

NPI Number 1740536283
Legal business name
LBN
CASA DE SHALOM, LLC
Authorized official ADAM STANLEY - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/02/2012
Last updated 08/02/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 1T3408

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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