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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: August 09, 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.

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
Phone(954) 485-0901
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 NPPES & CMS

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

What is Shallom Manor Retirement's NPI number?

The NPI number for Shallom Manor Retirement is 1649404476. It was assigned to this organization in the NPPES registry on May 7, 2009.

Where is Shallom Manor Retirement located?

Shallom Manor Retirement is located at 2771 NW 58th Ter, Lauderhill, FL 33313. The listed phone number is (954) 485-0901.

What is Shallom Manor Retirement's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Shallom Manor Retirement was last updated on May 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.