NPIMap

Organization Active NPI

Shalom Heritage LLC- Faith Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1972478733
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SHALOM HERITAGE LLC- FAITH HOME
Practice address
5849 E 5TH St
Tucson, AZ 85711-2403
Phone
(602) 989-7334
NPI assigned
Oct 9, 2025
Organization subpart
Yes
Parent organization
SHALOM HERITAGE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
David Oguntola
Title
Ceo
Phone
(602) 989-7334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

5849 E 5TH St
Tucson, AZ 85711-2403

Mailing address

2010 E Diamond Dr
Tempe, AZ 85283-3316
Phone (602) 989-7334

National Provider Directory

National Provider Directory
Tax ID family
Shalom Heritage LLC4 organizations share this tax ID, including this one
Part of
Shalom Heritage LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1972478733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E DIAMOND DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833316",
            "telephone_number": "602-989-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5849 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112403",
            "telephone_number": "602-989-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM HERITAGE LLC- FAITH HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHALOM HERITAGE, LLC",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "OGUNTOLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-989-7334"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.