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General NPI Number Information
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NPI Number | 1619833480
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Entity Type | Organization
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Legal Business Name | SHALUMSTAR HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 10770 COLUMBIA PIKE STE 300
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City | SILVER SPRING
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State | MD
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Zip | 20901-4439
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Country | US
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Telephone | 202-666-0112
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Fax |
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Provider Business Mailing Address
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Address Line | 10770 COLUMBIA PIKE STE 300
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City | SILVER SPRING
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State | MD
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Zip | 20901-4439
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Country | US
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Telephone | 202-666-0112
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | FLORE LELY MOUANG
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Credential |
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Telephone | 202-666-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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