SHALOM CARES WELLNESS CENTER, LLC (NPI# 1306400502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306400502 |
| Entity Type | Organization |
| Organization Name | SHALOM CARES WELLNESS CENTER, LLC |
| Practice Address |
14800 E Belleview Dr Aurora CO 80015-2258 |
| Practice Telephone | 3036805000 |
| Practice Fax Number | 3036996577 |
| Mailing Telephone | 3036805000 |
| Mailing Fax Number | 3036996577 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | MARC SCOTT PENNER (PRESIDENT/ CEO) |
| Authorized Official Telephone | 3036805000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
14800 E BELLEVIEW DR |
| City | AURORA |
| State | CO |
| Zip Code | 80015-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861430068 | Shalom Park | Skilled Nursing Facility | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2006-06-02 |
| 1932619087 | Rachel Schroeder | Occupational Therapist | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2017-10-03 |
| 1447640073 | Abby O'halloran | Physical Therapy Assistant | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2015-02-03 |
| 1417373135 | Elizabeth Schneider | Occupational Therapist | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2014-03-06 |
| 1265855589 | Shalom Therapies | Clinic/Center | 14800 E Belleview Dr, Suite 100, Aurora, CO 80015-2258 | 2014-01-22 |
| 1154687069 | Amy Fullmer | Speech-Language Pathologist | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2012-04-04 |
| 1497028708 | Shalom Cares | Skilled Nursing Facility | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2012-02-16 |
| 1730459033 | Angela Lee Kubie | Registered Nurse | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2012-01-04 |
| 1578847950 | Heather Hansing | Speech-Language Pathologist | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2011-10-04 |
| 1407174006 | Cynthia Marie Lind | Occupational Therapist | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2010-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104477736 | Alden of Waterford, L.L.C. | Clinic/Center | 2021 Randi Dr, Aurora, IL 60504-4758 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167371 | Uchealth Community Services | Clinic/Center | 8155 Piney River Ave Ste 100, Littleton, CO 80125-8729 | 2020-02-27 |
| 1407367428 | Zepol Enterprises | Clinic/Center | 9725 E Hampden Ave Ste 308, Denver, CO 80231-4919 | 2017-10-17 |
| 1871963561 | Helping Hands Therapy, LLC | Clinic/Center | 5720 Eldora Dr., Colorado Springs, CO 80918-1708 | 2015-10-07 |
| 1942465943 | Colorado Speech Therapy Services | Clinic/Center | 21521 E Powers Cir N, Centennial, CO 80015-3365 | 2008-07-20 |
| 1073535118 | Front Range Therapy Systems, Inc. | Clinic/Center | 802 W Drake Rd, Suite 133, Fort Collins, CO 80526-5567 | 2006-07-25 |
| 1790259349 | Colavria Therapy Services, Inc. | Clinic/Center | 6447 Quail St, Arvada, CO 80004-2600 | 2019-01-16 |
| 1093203747 | Mile High Healthcare, Inc. | Clinic/Center | 1601 Lowell Blvd, Denver, CO 80204-1545 | 2018-04-27 |
| 1740708429 | Constitution Road Healthcare, Inc. | Clinic/Center | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2017-09-01 |
| 1487989935 | Optimum Health Center, LLC | Clinic/Center | 1809 N Circle Dr, Colorado Springs, CO 80909-2410 | 2009-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.