Healthcare Provider Details

I. General information

NPI: 1861228702
Provider Name (Legal Business Name): SHALOM HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 BECKETT CENTER DR STE 202
WEST CHESTER OH
45069-5047
US

IV. Provider business mailing address

8080 BECKETT CENTER DR STE 202
WEST CHESTER OH
45069-5047
US

V. Phone/Fax

Practice location:
  • Phone: 513-426-8774
  • Fax: 513-426-8774
Mailing address:
  • Phone: 513-426-8774
  • Fax: 513-426-8774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUBUNMI OLADELE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 513-426-8774