SHALOM HOSPICE MISSOURI
NPI 1659056513
Hospice Care, Community Based in Independence, MO
About Shalom Hospice Missouri NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHALOM HOSPICE MISSOURI (NPI 1659056513), doing business as Shalom Hospice Mo, is a healthcare organization registered as a hospice care, community based in Independence, Missouri and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Marquita Davis, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 26D2096021
Shalom Hospice · Independence, MOOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDEPENDENCE, MO 64055
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 Missouri's NPI number?
The NPI number for Shalom Hospice Missouri is 1659056513. It was assigned to this organization in the NPPES registry on June 19, 2023. The provider is doing business as Shalom Hospice MO.
Where is Shalom Hospice Missouri located?
Shalom Hospice Missouri is located at 13905 E 39th St S Ste 105, Independence, MO 64055. The listed phone number is (816) 882-3861.
What is Shalom Hospice Missouri's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does Shalom Hospice Missouri hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2096021) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shalom Hospice Missouri was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shalom Hospice Missouri · NPI 1659056513
Hospice Care, Community Based organization in Independence, Missouri. Organization record, active in the CMS NPPES registry since June 19, 2023.
## Identity
- **NPI:** 1659056513 (Entity type: Organization)
- **Enumerated:** June 19, 2023
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Also known as:** Shalom Hospice MO (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Marquita Davis, ADMINISTRATOR
## Practice location
- **Address:** 13905 E 39TH ST S STE 105, Independence, MO 64055-3378
- **Phone:** (816) 882-3861
## Record status
- **NPPES last updated:** June 19, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659056513) · Data from the CMS NPPES public registry.