Provider Demographics
NPI:1023819364
Name:SHADAI HEALTH CARE LLC
Entity type:Organization
Organization Name:SHADAI HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:BITSHILUALUA
Authorized Official - Last Name:MULUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-952-3092
Mailing Address - Street 1:200 BENT TREE DR APT 1B
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-6033
Mailing Address - Country:US
Mailing Address - Phone:513-952-3092
Mailing Address - Fax:
Practice Address - Street 1:200 BENT TREE DR APT 1B
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-6033
Practice Address - Country:US
Practice Address - Phone:513-952-3092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty