Shalom Residential Care LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SHALOM RESIDENTIAL CARE LLC

Practice address

4940 Barrington CV
Memphis, TN 38125-3701

Phone

(901) 279-3020

NPI assigned

Apr 28, 2026

Last updated

Apr 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thierry Mukama

Title

Owner

Phone

(901) 279-3020

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1093651374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 BARRINGTON CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253701",
            "telephone_number": "901-279-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 BARRINGTON CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253701",
            "telephone_number": "901-279-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "MUKAMA",
        "authorized_official_first_name": "THIERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-279-3020"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shokoufeh Shahrabi Farahani, D.D.S, M.S, DMSC
• Aftab Ahmed Shaikh, M.D.
• David G Shainberg, DPM
• Mohamed Bashar Abou Shala, MD
• Julie Shalhoub, O.D.
• Carlos Shammas, MD
• Sreenath Shanker, PA-C
• Jacqueline Elizabeth Shanks, RD
• Chaquita Shanta Shannon
• Demeshia Shannon, LMSW

• Intellectual Disabilities Intermediate Care Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Intellectual Disabilities Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.