SHALOM CARE AGENCY LLC
NPI 1881350593
Technician - Personal Care Attendant in Houston, TX

Active since November 17, 2021
5903 SADDLE BRED DR, HOUSTON, TX 77084(877) 306-3566(877) 306-3566 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2024, Nov 17, 2021 (2 updates tracked since 2021).

  • Organization
  • Technician
  • Personal Care Attendant

About SHALOM CARE AGENCY LLC

This page provides the complete NPI Profile along with additional information for Shalom Care Agency Llc, a provider established in Houston, Texas operating as a Technician, focusing in personal care attendant . The healthcare provider is registered in the NPI registry with number 1881350593 assigned on November 2021. The practitioner's primary taxonomy code is 3747P1801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Shalom Care Agency Llc. The authorized official of this NPI record is Tracy Aibuedefe (Administrator)

NPI
1881350593 Verify this NPI
Provider Legal Name
SHALOM CARE AGENCY LLC
Other Organization Name
SHALOM CARE AGENCY LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5903 SADDLE BRED DR HOUSTON, TX 77084
Location Phone
(877) 306-3566
Location Fax
(877) 306-3566
Mailing Address
5903 SADDLE BRED DR HOUSTON, TX 77084
Mailing Phone
(877) 306-3566
Mailing Fax
(877) 306-3566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2021
Last Update Date
01-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Personal Care Attendant

Taxonomy Code
3747P1801X
Type
Nursing Service Related Providers
Taxonomy Description
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1253Z00000XAgencies

In Home Supportive Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY AIBUEDEFE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(408) 449-3467

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881350593, enumerated as an "organization" on November 17, 2021.

The provider is located at 5903 SADDLE BRED DR HOUSTON, TX 77084 and the phone number is (877) 306-3566.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.