Active NPI
Shevima Behavioral Health LLC
- Mental Illness Community Based Residential Treatment Facility
- Florence, AZ
National Provider Identifier
1801603741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.