MEDICARE: SHALOM HEALTH CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	R2521	MD

General Provider Information

NPI Number	:	1730314956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHALOM HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	7835 EASTERN AVE
Second Line	:	201
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4825
Country	:	US
Telephone Number	:	301-495-5559
Fax Number	:	301-495-5590

Provider Business Practice Location Address
First Line	:	7835 EASTERN AVE
Second Line	:	201
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4825
Country	:	US
Telephone Number	:	301-495-5559
Fax Number	:	301-495-5590

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	JUSTINE NAGWA NJAFUH
Credential	:	RN/BSM
Telephone Number	:	301-495-5559

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	05/18/2009

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