Provider Demographics
NPI:1063252211
Name:SHAMMAH HOME CARE LLC
Entity type:Organization
Organization Name:SHAMMAH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUROBYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-868-9638
Mailing Address - Street 1:707 E ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50315-2920
Mailing Address - Country:US
Mailing Address - Phone:515-868-9638
Mailing Address - Fax:
Practice Address - Street 1:707 E ROSE AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-2920
Practice Address - Country:US
Practice Address - Phone:515-868-9638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care