SHANGRI-LA, LLC
NPI 1902299985
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Prince George, VA

Active since March 14, 2015
3650 BUTOR RD, NORTH PRINCE GEORGE, VA 23860(804) 541-3589 Get Directions Write a Review

NPPES record last updated: March 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shangri-la, Llc NPPES

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

SHANGRI-LA, LLC (NPI 1902299985) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in North Prince George, Virginia and active in the NPI registry since March 2015. The organization lists Loretta Faulknier, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1902299985
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSHANGRI-LA, LLC
Location Address3650 BUTOR RDNorth Prince George, VA 23860-7429
Mailing AddressPo Box 1014Prince George, VA 23875-0961 · (804) 541-3589
Organization SubpartNo
Authorized OfficialLoretta FaulknierChief Executive Officer · (804) 541-3589
Enumeration DateMarch 14, 2015
NPI 1902299985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in VA · 2473
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3650 BUTOR RD, North Prince George, VA 23860

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 Shangri-La, LLC's NPI number?

The NPI number for Shangri-La, LLC is 1902299985. It was assigned to this organization in the NPPES registry on March 14, 2015.

Where is Shangri-La, LLC located?

Shangri-La, LLC is located at 3650 Butor Rd, North Prince George, VA 23860. The listed phone number is (804) 541-3589.

What is Shangri-La, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shangri-La, LLC was last updated on March 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.