Provider Demographics
NPI:1144745019
Name:SHALON'S CARING HANDS
Entity Type:Organization
Organization Name:SHALON'S CARING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STNA/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHALON
Authorized Official - Middle Name:KATRICE
Authorized Official - Last Name:WINDETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-527-7293
Mailing Address - Street 1:2205 JACKSON BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118
Mailing Address - Country:US
Mailing Address - Phone:1216-527-7293
Mailing Address - Fax:
Practice Address - Street 1:2205 JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4411
Practice Address - Country:US
Practice Address - Phone:216-527-7293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH378210550599OtherOHIO DEPARTMENT OF HEALTH