SHALOM BEHAVIORAL HOUSE, LLC
NPI 1366101479
Community/Behavioral Health in Avondale, AZ

Active since December 16, 2021
11063 W VIRGINIA AVE, AVONDALE, AZ 85392(855) 895-0261(855) 755-9202 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shalom Behavioral House, Llc NPPES

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

SHALOM BEHAVIORAL HOUSE, LLC (NPI 1366101479) is a healthcare organization registered as a community/behavioral health in Avondale, Arizona and active in the NPI registry since December 2021. The organization lists Aime Mukura Linda Minega Shabani, Manager, as its authorized official.

NPPES Registry Identity

NPI1366101479
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHALOM BEHAVIORAL HOUSE, LLC
Location Address11063 W VIRGINIA AVEAvondale, AZ 85392-5889
Mailing Address8050 N 19th Ave Unit 151Phoenix, AZ 85021-5160 · (855) 895-0261 · Fax (855) 755-9202
Fax(855) 755-9202
Organization SubpartNo
Authorized OfficialAime Mukura Linda Minega ShabaniManager · (855) 895-0261
Enumeration DateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
NPI 1366101479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
11063 W VIRGINIA AVE, Avondale, AZ 85392

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 Behavioral House, LLC's NPI number?

The NPI number for Shalom Behavioral House, LLC is 1366101479. It was assigned to this organization in the NPPES registry on December 16, 2021.

Where is Shalom Behavioral House, LLC located?

Shalom Behavioral House, LLC is located at 11063 W Virginia Ave, Avondale, AZ 85392. The listed phone number is (855) 895-0261.

What is Shalom Behavioral House, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shalom Behavioral House, LLC was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.