OrganizationActive
Shangri-La, LLC
NPI 1902299985 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · North Prince George, VA
Provider details
- NPI number
- 1902299985
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Loretta Faulknier, Chief Executive Officer(804) 541-3589
- License
- 2473 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 2473 (VA)
Residential Treatment Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3650 Butor Rd
North Prince George, VA 23860-7429
Phone: (804) 541-3589
Street-level locationGet directions
Mailing address
Po Box 1014
Prince George, VA 23875-0961
Registry dates
- Enumerated
- 2015-03-14
- Last updated
- 2015-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.