Provider Demographics
NPI:1972326098
Name:SHAMA CAREGIVERS LLC
Entity type:Organization
Organization Name:SHAMA CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAHASSAI
Authorized Official - Middle Name:MESELE
Authorized Official - Last Name:TAFESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-589-8888
Mailing Address - Street 1:5300 E MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2586
Mailing Address - Country:US
Mailing Address - Phone:614-589-8881
Mailing Address - Fax:
Practice Address - Street 1:5300 E MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-2586
Practice Address - Country:US
Practice Address - Phone:614-589-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health