Shalom House, Inc.
LBN: Shalom House, Inc.
Shalom House, Inc. is an health care organization with primary practice located at 106 Gilman St , Portland ME 04102-3034. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty.
Shalom House, Inc. can be contacted via phone (207) 874-1080, or through Haynes-Rodgers, Mary via phone (207) 874-1080.
Contact Information
Primary practice address
106 Gilman St
Portland ME 04102-3034
Phone: (207) 874-1080
Fax: (207) 874-1077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 229743 | Maine |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 229743 | Maine |
Profile Details
| NPI number | 1992702955 |
|---|---|
| LBN Legal business name | Shalom House, Inc. |
| DBA Doing business as | |
| Authorized official | Haynes-Rodgers, Mary |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Jan 23rd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992702955 | NPPES |
| Maine | MEDICAID | 16780000 | |
| Maine | MEDICAID | 167860101 |
Popular Providers
-
Advantage Behavioral Health Systems
250 North Ave , Athens GA 30601-2244 -
West Treatment Center
1361 Elm St Suite 207, Manchester NH 03101-1324 -
Spurwink Services
899 Riverside St , Portland ME 04103-1070 -
Genesis Development
401 W Mckinley St , Jefferson IA 50129-1421 -
The Opportunity Alliance
1329 Broadway , South Portland ME 04106-4110 -
Highland Rivers Community Service Board
1503 N Tibbs Rd , Dalton GA 30720-2915 -
Tulsa County Juvenile Justice Trust Authority
4012 E 35Th St , Tulsa OK 74135-4528 -
Brookwood Florida - East, Inc.
11461 Nw 43Rd St , Coral Springs FL 33065-7180