LLC.
NPI 1710322888
Home Health in Ocoee, FL

Active since May 02, 2013
1214 BARANOVA RD, OCOEE, FL 34761(407) 443-6703(407) 347-3692 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Llc. NPPES

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

LLC. (NPI 1710322888) is a healthcare organization registered as a home health in Ocoee, Florida and active in the NPI registry since May 2013. The organization lists Rithe F. Leon, Manager, as its authorized official.

NPPES Registry Identity

NPI1710322888
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSHALLOMSTAR HEALTHCARE AGENCY
Location Address1214 BARANOVA RDOcoee, FL 34761-1867
Mailing AddressPo Box 1222Ocoee, FL 34761-1222 · (407) 443-6703 · Fax (407) 347-3692
Fax(407) 347-3692
Organization SubpartNo
Authorized OfficialRithe F. LeonManager · (407) 443-6703
Enumeration DateMay 2, 2013
NPI 1710322888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in FL · 232509
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1214 BARANOVA RD, Ocoee, FL 34761

Other Names 1

Doing Business AsLlc.

Other Identifiers 1

Medicaid003567200FL

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 Shallomstar Healthcare Agency's NPI number?

The NPI number for Shallomstar Healthcare Agency is 1710322888. It was assigned to this organization in the NPPES registry on May 2, 2013. The provider is doing business as LLC..

Where is Shallomstar Healthcare Agency located?

Shallomstar Healthcare Agency is located at 1214 Baranova Rd, Ocoee, FL 34761. The listed phone number is (407) 443-6703.

What is Shallomstar Healthcare Agency's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Shallomstar Healthcare Agency was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.