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SHALOM BEHAVIORAL CARE LLC
NPI 1619457785
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in San Tan Valley, AZ

Active since August 18, 2018
35301 N BELGIAN BLUE CT, SAN TAN VALLEY, AZ 85143(480) 687-0462 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2018, Aug 18, 2018 (2 updates tracked since 2018).

About Shalom Behavioral Care Llc NPPES

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

SHALOM BEHAVIORAL CARE LLC (NPI 1619457785) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in San Tan Valley, Arizona and active in the NPI registry since August 2018. The organization lists Anthony Vincent Olorunsola, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1619457785
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSHALOM BEHAVIORAL CARE LLC
Location Address35301 N BELGIAN BLUE CTSan Tan Valley, AZ 85143
Mailing Address35301 N Belgian Blue CtSan Tan Valley, AZ 85143-5497 · (480) 687-0462
Phone(480) 687-0462
Organization SubpartNo
Authorized OfficialAnthony Vincent OlorunsolaNurse Practitioner · (623) 806-6864
Enumeration DateAugust 18, 2018
Last NPPES UpdateAugust 28, 20182 updates tracked since enumeration
✔ NPI 1619457785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in AZ · BH5490
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
35301 N BELGIAN BLUE CT, San Tan Valley, AZ 85143
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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 Shalom Behavioral Care LLC's NPI number?

The NPI number for Shalom Behavioral Care LLC is 1619457785. It was assigned to this organization in the NPPES registry on August 18, 2018.

Where is Shalom Behavioral Care LLC located?

Shalom Behavioral Care LLC is located at 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143. The listed phone number is (480) 687-0462.

What is Shalom Behavioral Care LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Shalom Behavioral Care LLC was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.