Shanti House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH-4445 Issued in AZ

Legal business name

SHANTI HOUSE

Practice address

7420 E Lakeside Dr
Tucson, AZ 85730-3321

Phone

(520) 296-9139

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Hepsibah Anjuri

Title

Owner/Provider

Phone

(520) 296-9139

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1609178383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 E LAKESIDE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 E LAKESIDE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303321",
            "telephone_number": "520-296-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "ANJURI",
        "authorized_official_first_name": "HEPSIBAH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "520-296-9139"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-4445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "575563",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Kenneth Shaner
• Carrie Shanks
• Lauryn Christine Shannon
• Moira Shannon, MD
• Rashad Shannon
• Nicolle H Shanti, P.T.
• Shapct, LLC (Arista Hospice)
• Carol A Shapiro
• Daniel E Shapiro, PHD
• Elaine Janet Shapiro, DPM

• Community/Behavioral Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.