SHALOM HOME CARE CORPORATION LLC DBA SHALOM HOME CARE
NPI 1114384476
In Home Supportive Care in Pueblo, CO

Active since January 18, 2016
134 LAMAR AVE, PUEBLO, CO 81004(719) 542-2715(719) 543-6358 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About SHALOM HOME CARE CORPORATION LLC DBA SHALOM HOME CARE

This page provides the complete NPI Profile along with additional information for Shalom Home Care Corporation Llc Dba Shalom Home Care, a provider established in Pueblo, Colorado operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1114384476 assigned on January 2016. The practitioner's primary taxonomy code is 253Z00000X with license number 230659 (CO). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Gilbert J Pacheco (Owner/operator)

NPI
1114384476 Verify this NPI
Provider Name
SHALOM HOME CARE CORPORATION LLC DBA SHALOM HOME CARE
Entity Type
Organization
Location Address
134 LAMAR AVE PUEBLO, CO 81004
Location Phone
(719) 542-2715
Location Fax
(719) 543-6358
Mailing Address
134 LAMAR AVE PUEBLO, CO 81004
Mailing Phone
(719) 542-2715
Mailing Fax
(719) 543-6358
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2016
Last Update Date
01-18-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
230659
License State
CO
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GILBERT J PACHECO

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(719) 542-2715

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
32771754MEDICAID (05)CO 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114384476, enumerated as an "organization" on January 18, 2016.

The provider is located at 134 LAMAR AVE PUEBLO, CO 81004 and the phone number is (719) 542-2715.

In Home Supportive Care with taxonomy code 253Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.