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SHALOM HOSPICE LLC
NPI 1023756285
Hospice Care, Community Based in Brentwood, TN

Active since May 26, 2022CLIA 44D2268647 · Waiver
5409 MARYLAND WAY STE 212, BRENTWOOD, TN 37027(510) 499-9977 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shalom Hospice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALOM HOSPICE LLC (NPI 1023756285) is a healthcare organization registered as a hospice care, community based in Brentwood, Tennessee and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Samuel Stern, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023756285
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSHALOM HOSPICE LLC
Location Address5409 MARYLAND WAY STE 212Brentwood, TN 37027-5068
Mailing Address5409 Maryland Way Ste 212Brentwood, TN 37027-5068
Phone(510) 499-9977
Organization SubpartNo
Authorized OfficialSamuel SternCeo · (510) 499-9977
Enumeration DateMay 26, 2022
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1023756285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
5409 MARYLAND WAY STE 212, Brentwood, TN 37027
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2268647

Shalom Hospice LLC · Brentwood, TN
Active · expires Sep 14, 2026
CLIA Number44D2268647
Laboratory TypeHospice
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorJaneen Fraser
Laboratory Phone(615) 623-8900
Laboratory LocationShalom Hospice LLC5409 Maryland Way, Suite 212, Brentwood, TN 37027
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalom Hospice LLC's NPI number?

The NPI number for Shalom Hospice LLC is 1023756285. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Shalom Hospice LLC located?

Shalom Hospice LLC is located at 5409 Maryland Way Ste 212, Brentwood, TN 37027. The listed phone number is (510) 499-9977.

What is Shalom Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Shalom Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2268647) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shalom Hospice LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Shalom Hospice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shalom Hospice LLC was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.