Provider Demographics
NPI:1487292660
Name:SHALOM HOME HEALTH LTD
Entity type:Organization
Organization Name:SHALOM HOME HEALTH LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AKINOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAKINYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-927-0936
Mailing Address - Street 1:8147 SEMINOLE CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4919
Mailing Address - Country:US
Mailing Address - Phone:312-927-0936
Mailing Address - Fax:
Practice Address - Street 1:8147 SEMINOLE CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4919
Practice Address - Country:US
Practice Address - Phone:312-927-0936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities