Healthcare Provider Details

I. General information

NPI: 1356259964
Provider Name (Legal Business Name): SHALOM ROFA CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9407 NE VANCOUVER MALL DR STE 104
VANCOUVER WA
98662-6191
US

IV. Provider business mailing address

9407 NE VANCOUVER MALL DR STE 104
VANCOUVER WA
98662-6191
US

V. Phone/Fax

Practice location:
  • Phone: 888-462-3453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: REGINA NJUGUNA
Title or Position: OWNER
Credential: RN. BSN
Phone: 206-779-5282