Healthcare Provider Details

I. General information

NPI: 1992616478
Provider Name (Legal Business Name): SHARIRO COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 FAIRFAX ST
DENVER CO
80207-2748
US

IV. Provider business mailing address

10301 STROMA AVE
LAS VEGAS NV
89166-6728
US

V. Phone/Fax

Practice location:
  • Phone: 303-524-4180
  • Fax:
Mailing address:
  • Phone: 702-487-1534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RYAN EDWARD ROSS
Title or Position: OWNER
Credential:
Phone: 702-487-1534