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SHALOM HOSPICE MISSOURI
NPI 1659056513
Hospice Care, Community Based in Independence, MO

Active since June 19, 2023CLIA 26D2096021 · Waiver
13905 E 39TH ST S STE 105, INDEPENDENCE, MO 64055(816) 882-3861 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1659056513
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSHALOM HOSPICE MISSOURI
Location Address13905 E 39TH ST S STE 105Independence, MO 64055-3378
Mailing Address13905 E 39th St S Ste 105Independence, MO 64055-3378
Phone(816) 882-3861
Organization SubpartNo
Authorized OfficialMarquita DavisAdministrator · (816) 882-3861
Enumeration DateJune 19, 2023
NPPES CertifiedJune 19, 2023
✔ NPI 1659056513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
13905 E 39TH ST S STE 105, Independence, MO 64055
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Other Names 1

Doing Business AsShalom Hospice Mo

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, MO
Active · expires May 13, 2027
CLIA Number26D2096021
Laboratory TypeHome Health Agency
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorMarquita L. Davis
Laboratory Phone(660) 362-1516
Laboratory LocationShalom Hospice13905 E 39th St Suite #104, Independence, MO 64055
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHINIQUE CARE LLC
Day Training, Developmentally Disabled Services
13905 E 39TH ST S STE 105
INDEPENDENCE, MO 64055
Jackson County (816) 405-1202
MRS. MARQUITA DAVIS
Hospice Care, Community Based
13905 E 39TH ST S STE 105
INDEPENDENCE, MO 64055
Jackson County (816) 882-3861

Frequently Asked Questions

What is SHALOM HOSPICE MISSOURI's NPI number?

The NPI number assigned to this healthcare provider is 1659056513, enumerated as an "organization" on June 19, 2023.

Where is the provider located?

The provider is located at 13905 E 39TH ST S STE 105 INDEPENDENCE, MO 64055 and the phone number is (816) 882-3861.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.