Shalom Center, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SHALOM CENTER, INC.

Practice address

13516 Morgan Dr
Splendora, TX 77372-3121

Phone

(281) 399-0520

Fax

(281) 399-3366

NPI assigned

Jan 30, 2013

Last updated

Jan 30, 2013By 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

Mr. Daniel A. Kidd

Title

Executive Director

Phone

(281) 399-0520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1194063875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13516 MORGAN DR",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773723121",
            "telephone_number": "281-399-0520",
            "fax_number": "281-399-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13516 MORGAN DR",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773723121",
            "telephone_number": "281-399-0520",
            "fax_number": "281-399-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-399-0520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Splendora, TX
• Providers in Splendora, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.