SHALOM BEHAVIORAL CARE LLC – NPI #1619457785
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

SHALOM BEHAVIORAL CARE LLC is a community based residential treatment facility located in SAN TAN VALLEY, AZ. NPPES has assigned the NPI number 1619457785 to SHALOM BEHAVIORAL CARE LLC on August 18, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 8 years ago on Aug 28, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHALOM BEHAVIORAL CARE LLC below.

NPI Profile for
SHALOM BEHAVIORAL CARE LLC

NPI Number
1619457785
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHALOM BEHAVIORAL CARE LLC
Primary location
35301 N BELGIAN BLUE CT
SAN TAN VALLEY, AZ 85143
Phone: (480) 687-0462 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY OLORUNSOLA
NURSE PRACTITIONER
Phone: (623) 806-6864
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 AZ BH5490

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.