Organization Active NPI

Shalom House LLC

  • Adult Care Home Facility
  • Wailuku, HI
National Provider Identifier
1629907860
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SHALOM HOUSE LLC
Practice address
975 Lekeona Loop
Wailuku, HI 96793-9656
Phone
(714) 331-5949
Fax
(808) 214-5747
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Mila Cortez Gorospe, CCFFHNPI 1952268831
Title
Owner
Phone
(714) 331-5949

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
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

975 Lekeona Loop
Wailuku, HI 96793-9656

Mailing address

975 Lekeona Loop
Wailuku, HI 96793-9656
Phone (714) 331-5949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1629907860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 LEKEONA LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939656",
            "telephone_number": "714-331-5949",
            "fax_number": "808-214-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 LEKEONA LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939656",
            "telephone_number": "714-331-5949",
            "fax_number": "808-214-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GOROSPE",
        "authorized_official_first_name": "MILA",
        "authorized_official_middle_name": "CORTEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-331-5949",
        "authorized_official_credential": "CCFFH"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.