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S.H.A.P.E SOLUTIONS LLC NPI 1023583069


NPI Information

NPI: 1023583069
Provider Name: S.H.A.P.E SOLUTIONS LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
12237 FAIRFIELD HOUSE DR APT 311
FAIRFAX, VA
ZIP 22033
Phone: (202) 215-9252
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S.H.A.P.E SOLUTIONS LLC is a day training developmentally disabled services in Fairfax, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. S.H.A.P.E SOLUTIONS LLC NPI is 1023583069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12237 FAIRFIELD HOUSE DR APT 311
FAIRFAX, VA
ZIP 22033-953
Phone: (202) 215-9252

The provider's authorized official is Carolyn R. Young .
The authorized official title is President and has the following contact phone number (202) 215-9252.

The enumeration date for this NPI number is 10/5/2018 and was last updated on 10/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystNo
2106E00000XAssistant Behavior AnalystNo
3253Z00000XIn Home Supportive CareNo
4385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
5251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y520108734422OTHERMARYLANDNONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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