Shea Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SHEA HOME LLC

Practice address

10435 N 40TH St
Phoenix, AZ 85028-4043

Phone

(480) 266-2461

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Kevin Maftean

Title

Director

Phone

(480) 266-2461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1548889793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284043",
            "telephone_number": "480-266-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "MAFTEAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-266-2461"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Shawver
• Fred Glen Shay, D.C.
• Patricia Shay, MD
• Patrick Shayegan, M.D.
• Shea Chiropractic Clinic
• Shea Manor Assisted Living Home, LLC
• Shea Pediatric Psychiatry PLLC
• Shea Wellness Group LLC
• Joseph Dennis Shea, M.D.
• Kathleen Shea

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.