SHALOM BEHAVIORAL CARE LLC
NPI 1720650583
Psychiatric Residential Treatment Facility in Florence, AZ

Active since July 12, 2021
10612 E MARIGOLD LN, FLORENCE, AZ 85132(480) 684-2004(480) 582-6043 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shalom Behavioral Care Llc NPPES

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

SHALOM BEHAVIORAL CARE LLC (NPI 1720650583) is a healthcare organization registered as a psychiatric residential treatment facility in Florence, Arizona and active in the NPI registry since July 2021. The organization lists Anthony Vincent Olorunsola, Statutory Officer, as its authorized official.

NPPES Registry Identity

NPI1720650583
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameSHALOM BEHAVIORAL CARE LLC
Location Address10612 E MARIGOLD LNFlorence, AZ 85132-7320
Mailing Address10612 E Marigold LnFlorence, AZ 85132-7320 · (480) 684-2004
Fax(480) 582-6043
Organization SubpartYesParent: Shalom Behavioral Care, Llc
Authorized OfficialAnthony Vincent OlorunsolaStatutory Officer · (623) 806-6864
Enumeration DateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
NPI 1720650583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
10612 E MARIGOLD LN, Florence, AZ 85132

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 1720650583. It was assigned to this organization in the NPPES registry on July 12, 2021.

Where is Shalom Behavioral Care LLC located?

Shalom Behavioral Care LLC is located at 10612 E Marigold Ln, Florence, AZ 85132. The listed phone number is (480) 684-2004.

What is Shalom Behavioral Care LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Shalom Behavioral Care LLC was last updated on July 12, 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.