SHALLOM MANOR RETIREMENT
NPI 1649404476
Assisted Living Facility in Lauderhill, FL

Active since May 07, 2009
2771 NW 58TH TER, LAUDERHILL, FL 33313(954) 485-0901(954) 717-2867 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shallom Manor Retirement NPPES

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

SHALLOM MANOR RETIREMENT (NPI 1649404476) is a healthcare organization registered as an assisted living facility in Lauderhill, Florida and active in the NPI registry since May 2009. The organization lists Emmins H Henry, President, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1649404476
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHALLOM MANOR RETIREMENT
Location Address2771 NW 58TH TERLauderhill, FL 33313-2384
Mailing Address2771 Nw 58th TerLauderhill, FL 33313-2384 · (954) 485-0901 · Fax (954) 717-2867
Fax(954) 717-2867
Organization SubpartNo
Authorized OfficialEmmins H HenryPresident · (954) 485-0901
Enumeration DateMay 7, 2009
NPI 1649404476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in FL · AL5167
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2771 NW 58TH TER, Lauderhill, FL 33313

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649404476, enumerated as an "organization" on May 07, 2009.

The provider is located at 2771 NW 58TH TER LAUDERHILL, FL 33313 and the phone number is (954) 485-0901.

Assisted Living Facility with taxonomy code 310400000X.