NPIMap

Organization Active NPI

Ska-Shifra LLC

  • Community/Behavioral Health Agency
  • Goodyear, AZ
National Provider Identifier
1194316802
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SKA-SHIFRA LLC
Practice address
926 S 176TH Ave
Goodyear, AZ 85338-4613
Phone
(623) 282-0663
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Bob KabambaNPI 1447772264
Title
Pro
Phone
(623) 282-0663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

926 S 176TH Ave
Goodyear, AZ 85338-4613

Mailing address

7136 N 73Rd Dr
Glendale, AZ 85303-2569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1194316802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 N 73RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S 176TH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384613",
            "telephone_number": "623-282-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKA-SHIFRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "KABAMBA",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PRO",
        "authorized_official_telephone_number": "623-282-0663"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.