Shalom Heritage, Llc

LBN: Shalom Heritage, Llc
Shalom Heritage, Llc is an health care organization with primary practice located at 6748 S Dennis Dr , Tempe AZ 85283-5426. The organization recently has only one registered license in Respite Care Facility / Respite Care, which is considered as the primary health care specialty. Shalom Heritage, Llc can be contacted via phone (480) 845-9165, or through Oguntola, David Adebayo via phone (480) 845-9165.

Contact Information

Primary practice address
6748 S Dennis Dr Tempe AZ 85283-5426
Phone: (480) 845-9165
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Oguntola, David Adebayo
Phone: (480) 845-9165

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1750093050
LBN Legal business name Shalom Heritage, Llc
DBA Doing business as
Authorized official Oguntola, David Adebayo
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2022
Last updated Dec 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750093050 NPPES
Arizona MEDICAID 156294

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