1. Home
  2. Directory
  3. Oregon
  4. Fairview
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

SHALOM SD RTH LLC
NPI 1043156706
Community Based Residential Treatment Facility, Mental Illness in Fairview, OR

Active since April 27, 2026
1818 FAIRVIEW AVE, FAIRVIEW, OR 97024(404) 740-7257(404) 740-7257 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shalom Sd Rth Llc NPPES

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

SHALOM SD RTH LLC (NPI 1043156706) is a healthcare organization registered as a community based residential treatment facility, mental illness in Fairview, Oregon and active in the NPI registry since April 2026. The organization lists Sibamo Bette Gaguro, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043156706
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSHALOM SD RTH LLC
Location Address1818 FAIRVIEW AVEFairview, OR 97024-3761
Mailing Address1818 Fairview AveFairview, OR 97024-3761 · (404) 740-7257 · Fax (404) 740-7257
Phone(404) 740-7257
Fax(404) 740-7257
Organization SubpartNo
Authorized OfficialSibamo Bette GaguroAdministrator · (404) 740-7257
Enumeration DateApril 27, 2026
NPPES CertifiedApril 26, 2026
✔ NPI 1043156706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1818 FAIRVIEW AVE, Fairview, OR 97024
Open in Google Maps ↗

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 Shalom Sd Rth LLC's NPI number?

The NPI number for Shalom Sd Rth LLC is 1043156706. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Shalom Sd Rth LLC located?

Shalom Sd Rth LLC is located at 1818 Fairview Ave, Fairview, OR 97024. The listed phone number is (404) 740-7257.

What is Shalom Sd Rth LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Shalom Sd Rth LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.