Organization Active NPI

Shevima Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Florence, AZ
National Provider Identifier
1801603741
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SHEVIMA BEHAVIORAL HEALTH LLC
Practice address
2274 N Pecos CT
Florence, AZ 85132-6749
Phone
(602) 657-5930
NPI assigned
Dec 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Mrs. Martha Mboh
Title
Administrator
Phone
(602) 657-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2274 N Pecos CT
Florence, AZ 85132-6749

Mailing address

2274 N Pecos CT
Florence, AZ 85132-6749
Phone (602) 657-5930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1801603741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 N PECOS CT",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851326749",
            "telephone_number": "602-657-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 N PECOS CT",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851326749",
            "telephone_number": "602-657-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEVIMA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "MBOH",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-657-5930",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.