Shalom House Inc

LBN: Shalom House South
Shalom House Inc is an health care organization with primary practice located at 1480 College Ave , Columbus OH 43209-2888. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Shalom House South can be contacted via phone (614) 338-2351, or through Dodge, Ruth via phone (614) 239-1999.

Contact Information

Primary practice address
1480 College Ave Columbus OH 43209-2888
Phone: (614) 338-2351
Fax: (614) 338-2353
Website:
Map and Directions
Authorized official contact:
Name: Dodge, Ruth QMRP
Phone: (614) 239-1999

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2512963 Ohio

Profile Details

NPI number 1912961806
LBN Legal business name Shalom House South
DBA Doing business as Shalom House Inc
Authorized official Dodge, Ruth QMRP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1912961806 NPPES
Ohio MEDICAID 0899201

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