ARIZONA SHALOM CENTER, LLC
NPI 1245819911
Community/Behavioral Health in Maricopa, AZ

Active since April 07, 2021
22453 N VANDERVEEN WAY, MARICOPA, AZ 85138(480) 358-7189 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arizona Shalom Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA SHALOM CENTER, LLC (NPI 1245819911) is a healthcare organization registered as a community/behavioral health in Maricopa, Arizona and active in the NPI registry since April 2021. The organization lists Etienne Ahayo, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1245819911
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameARIZONA SHALOM CENTER, LLC
Location Address22453 N VANDERVEEN WAYMaricopa, AZ 85138-5570
Mailing Address22453 N Vanderveen WayMaricopa, AZ 85138-5570 · (480) 358-7189
Organization SubpartNo
Authorized OfficialEtienne AhayoAdminstrator · (480) 358-7189
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
NPI 1245819911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
22453 N VANDERVEEN WAY, Maricopa, AZ 85138

Other Names 2

Doing Business AsArizona Shalom Center, Llc
Doing Business AsAz Shalom Center

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona Shalom Center, LLC's NPI number?

The NPI number for Arizona Shalom Center, LLC is 1245819911. It was assigned to this organization in the NPPES registry on April 7, 2021. The provider is doing business as Az Shalom Center.

Where is Arizona Shalom Center, LLC located?

Arizona Shalom Center, LLC is located at 22453 N Vanderveen Way, Maricopa, AZ 85138. The listed phone number is (480) 358-7189.

What is Arizona Shalom Center, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Arizona Shalom Center, LLC was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.