NPIMap

Organization Active NPI

Ska-Shifra Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1861932097
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4983 Issued in AZ
Legal business name
SKA-SHIFRA FACILITY
Practice address
7136 N 73Rd Dr
Glendale, AZ 85303-2569
Phone
(203) 545-0242
NPI assigned
Mar 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Bob KabambaNPI 1447772264
Title
Owner/ Ceo
Phone
(203) 545-0242

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
Mental Illness Community Based Residential Treatment Facility 320800000X BH4983 AZ Primary

Addresses

Primary practice location

7136 N 73Rd Dr
Glendale, AZ 85303-2569

Mailing address

7136 N 73Rd Dr
Glendale, AZ 85303-2569

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": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1861932097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 N 73RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 N 73RD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032569",
            "telephone_number": "203-545-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKA-SHIFRA FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "KABAMBA",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "203-545-0242"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.