SHALOM HERITAGE LLC- FAITH HOME
NPI 1972478733
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tucson, AZ

Active since October 09, 2025CLIA 03D2317371 · Waiver
5849 E 5TH ST, TUCSON, AZ 85711(602) 989-7334 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shalom Heritage Llc- Faith Home NPPES

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

SHALOM HERITAGE LLC- FAITH HOME (NPI 1972478733) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Tucson, Arizona and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists David Oguntola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972478733
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSHALOM HERITAGE LLC- FAITH HOME
Location Address5849 E 5TH STTucson, AZ 85711-2403
Mailing Address2010 E Diamond DrTempe, AZ 85283-3316 · (602) 989-7334
Organization SubpartYesParent: Shalom Heritage, Llc
Authorized OfficialDavid OguntolaCeo · (602) 989-7334
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1972478733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
5849 E 5TH ST, Tucson, AZ 85711

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2317371

Shalom Heritage Llc-Faith Nsgh · Tucson, AZ
Active · expires Jan 22, 2027
CLIA Number03D2317371
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorDavid Oguntola
Laboratory Phone(602) 989-7334
Laboratory LocationShalom Heritage Llc-Faith Nsgh5849 E 5th St, Tucson, AZ 85711
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
5849 E 5TH ST
TUCSON, AZ 85711

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 Heritage Llc- Faith Home's NPI number?

The NPI number for Shalom Heritage Llc- Faith Home is 1972478733. It was assigned to this organization in the NPPES registry on October 9, 2025.

Where is Shalom Heritage Llc- Faith Home located?

Shalom Heritage Llc- Faith Home is located at 5849 E 5th St, Tucson, AZ 85711. The listed phone number is (602) 989-7334.

What is Shalom Heritage Llc- Faith Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Shalom Heritage Llc- Faith Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2317371) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shalom Heritage Llc- Faith Home was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.