Shalom Community Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SHALOM COMMUNITY LIVING LLC

Practice address

521 29TH St NE
Cedar Rapids, IA 52402-4817

Phone

(216) 413-6683

NPI assigned

Jul 29, 2025

Organization subpart

No

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

Authorized official

Name

Juhudi N Joseph

Title

Ceo

Phone

(216) 413-6683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1386527075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 29TH ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 29TH ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024817",
            "telephone_number": "216-413-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JUHUDI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-413-6683"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J Shaffer, A.R.N.P.
• Lori Frost Shah, MD
• Preksha Shah
• Sanjay S Shah, MD
• Syed Jawad Shah, M.D.
• Kourtne Kay Shanahan Powell, DC
• Dawn Shannon
• Sandra Shapiro, M.S. BCBA
• Anita Sharma
• Niyati Sharma, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.