OrganizationActive
Shalom Behavioral House, LLC
NPI 1396508446 · Community/Behavioral Health Agency · Laveen, AZ
Provider details
- NPI number
- 1396508446
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Shalom Behavioral House, LLC
- Organization subpart
- Yes
- Authorized official
- Aime Minega Shabani, Administrator(602) 477-9416
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
7718 S 69th Dr
Laveen, AZ 85339-3432
Phone: (602) 477-9416
Street-level locationGet directions
Mailing address
11063 W Virginia Ave
Avondale, AZ 85392-5889
Other names (DBA / former)
- Doing business as
- Prince Micah House
Registry dates
- Enumerated
- 2024-02-01
- Last updated
- 2024-02-01
- Certified
- 2024-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.