Provider Demographics
NPI:1275148504
Name:SHEKINAH GLOBAL HEALTHCARE VENTURES
Entity Type:Organization
Organization Name:SHEKINAH GLOBAL HEALTHCARE VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BOLAJI
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:BABATUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:DR OF HEALTHCA ADMI
Authorized Official - Phone:909-231-0098
Mailing Address - Street 1:15176 SAPLING LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5224
Mailing Address - Country:US
Mailing Address - Phone:909-231-0098
Mailing Address - Fax:909-587-2016
Practice Address - Street 1:9612 FOOTHILL BLVD UNIT 110
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3547
Practice Address - Country:US
Practice Address - Phone:909-231-0098
Practice Address - Fax:909-587-2016
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHEKINAH GLOBAL HEALTHCARE VENTURES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-14
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health