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SHALOM HOUSE, INC.
NPI 1992702955
Community Based Residential Treatment Facility, Mental Illness in Portland, ME

Active since July 06, 2005
106 GILMAN ST, PORTLAND, ME 04102(207) 874-1080(207) 874-1077 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shalom House, Inc. NPPES

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

SHALOM HOUSE, INC. (NPI 1992702955) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Maine and active in the NPI registry since July 2005. The organization lists Mary Haynes-rodgers, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992702955
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSHALOM HOUSE, INC.
Location Address106 GILMAN STPortland, ME 04102-3034
Mailing Address106 Gilman StPortland, ME 04102-3034 · (207) 874-1080 · Fax (207) 874-1077
Phone(207) 874-1080
Fax(207) 874-1077
Organization SubpartNo
Authorized OfficialMary Haynes-rodgersExecutive Director · (207) 874-1080
Enumeration DateJuly 6, 2005
Last NPPES UpdateJanuary 23, 2009
✔ NPI 1992702955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in ME · 229743
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCase ManagementTaxonomy 251B00000X · License 229743 (ME)
106 GILMAN ST, Portland, ME 04102
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Other Identifiers 3

Medicaid16780000ME
Medicare ID-Type UnspecifiedSH ME1043ME · Medicare
Medicaid167860101ME

Other Providers at the Same Location NPPES 6

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

LEAH PUFFER RN
Registered Nurse
106 GILMAN ST
PORTLAND, ME 04102
Cumberland County (207) 661-6412
AMANDA MCPHETERS LCSW
Social Worker (Clinical)
106 GILMAN ST
PORTLAND, ME 04102
Cumberland County (207) 874-1080
AMY LYNN MCAULIFFE NP, RN
Nurse Practitioner (Psychiatric/Mental Health)
106 GILMAN ST
PORTLAND, ME 04102
Cumberland County (207) 874-1087
KIMBERLY M. BLANEY LCPC
Counselor (Professional)
106 GILMAN ST
PORTLAND, ME 04102
Cumberland County (207) 874-1087
KELLY BRUNEAU LCPC
Counselor (Mental Health)
106 GILMAN ST
PORTLAND, ME 04102
Cumberland County (207) 874-1080
MS. REBECCA ANN SCHROEDER NP, RN
Nurse Practitioner (Psychiatric/Mental Health)
106 GILMAN ST
PORTLAND, ME 04102
Cumberland County (207) 874-1080

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 House, Inc.'s NPI number?

The NPI number for Shalom House, Inc. is 1992702955. It was assigned to this organization in the NPPES registry on July 6, 2005.

Where is Shalom House, Inc. located?

Shalom House, Inc. is located at 106 Gilman St, Portland, ME 04102. The listed phone number is (207) 874-1080.

What is Shalom House, Inc.'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 House, Inc. was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.