SHALOM HOSPICE LLC
NPI 1023756285
Hospice Care, Community Based in Brentwood, TN
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, 2028 and lists Samuel Stern, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shalom Hospice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Shalom Hospice LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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.
Is Shalom Hospice LLC enrolled in Medicare?
Yes. Shalom Hospice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shalom Hospice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Shalom Hospice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shalom Hospice Llc · NPI 1023756285
Hospice Care, Community Based organization in Brentwood, Tennessee. Organization record, active in the CMS NPPES registry since May 26, 2022.
## Identity
- **NPI:** 1023756285 (Entity type: Organization)
- **Enumerated:** May 26, 2022
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Stern, CEO
## Practice location
- **Address:** 5409 MARYLAND WAY STE 212, Brentwood, TN 37027-5068
- **Phone:** (510) 499-9977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023756285) · Data from the CMS NPPES public registry.