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SHALOM BEHAVIORAL HOUSE, LLC
NPI 1396508446
Community/Behavioral Health in Laveen, AZ

Active since February 01, 2024
7718 S 69TH DR, LAVEEN, AZ 85339(602) 477-9416 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 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 1396508446), doing business as Prince Micah House, is a healthcare organization registered as a community/behavioral health in Laveen, Arizona and active in the NPI registry since February 2024. The organization lists Aime Mukura Linda Minega Shabani, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396508446
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHALOM BEHAVIORAL HOUSE, LLC
Location Address7718 S 69TH DRLaveen, AZ 85339-3432
Mailing Address11063 W Virginia AveAvondale, AZ 85392-5889 · (602) 477-9416
Phone(602) 477-9416
Organization SubpartYes
Authorized OfficialAime Mukura Linda Minega ShabaniAdministrator · (602) 477-9416
Enumeration DateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1396508446 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.
7718 S 69TH DR, Laveen, AZ 85339
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Other Names 1

Doing Business AsPrince Micah House

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 1396508446. It was assigned to this organization in the NPPES registry on February 1, 2024. The provider is doing business as Prince Micah House.

Where is Shalom Behavioral House, LLC located?

Shalom Behavioral House, LLC is located at 7718 S 69th Dr, Laveen, AZ 85339. The listed phone number is (602) 477-9416.

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 February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.