Shalom Sd Rth LLC
NPI 1043156706 · Mental Illness Community Based Residential Treatment Facility · Fairview, OR
Shalom Sd Rth LLC is a Mental Illness Community Based Residential Treatment Facility organization in Fairview, OR (NPI 1043156706).
Provider details
- NPI number
- 1043156706
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sibamo Gaguro, Administrator(404) 740-7257
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-26
Frequently asked questions
- What is Shalom Sd Rth LLC's NPI number?
- Shalom Sd Rth LLC's National Provider Identifier (NPI) is 1043156706, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shalom Sd Rth LLC?
- Shalom Sd Rth LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Shalom Sd Rth LLC located?
- Shalom Sd Rth LLC's practice location on file with NPPES is 1818 Fairview Ave, Fairview, OR 97024-3761.
- What is Shalom Sd Rth LLC's phone number?
- The practice phone number listed in the NPPES registry for Shalom Sd Rth LLC is (404) 740-7257.
- Who is the authorized official for Shalom Sd Rth LLC?
- The authorized official listed on Shalom Sd Rth LLC's NPPES record is Sibamo Gaguro, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shalom Sd Rth LLC's NPI active?
- Yes — Shalom Sd Rth LLC's NPI (1043156706) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.