Healthcare Provider Details

I. General information

NPI: 1043129257
Provider Name (Legal Business Name): PROVERBS IN ARIZONA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 S 108TH WAY
CHANDLER AZ
85286-7100
US

IV. Provider business mailing address

1540 S 108TH WAY
CHANDLER AZ
85286-7100
US

V. Phone/Fax

Practice location:
  • Phone: 480-703-0992
  • Fax: 480-907-2331
Mailing address:
  • Phone: 480-703-0992
  • Fax: 480-907-2331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ZAKI JABIR SHAKIR
Title or Position: OWNER
Credential:
Phone: 480-703-0992