SHADOW HOUSING INC NPI 1861732893

NPI Information

NPI: 1861732893
Provider Name: SHADOW HOUSING INC

Doing Business As: ASSISTANCE BY IMPROV LL INC

Classification: Registered Nurse - 163WC1500X
Entity Type: Organization

Specialization: Community Health

Address:
3560 OLINVILLE AVE APT 1F
2118 WILLLIAMBRIDGE ROAD
BRONX, NY
ZIP 10467
Phone: (718) 618-7337
Get Directions

SHADOW HOUSING INC is a community health registered nurse in Bronx, NY. SHADOW HOUSING INC NPI is 1861732893. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Assistance By Improv Ll Inc.

The provider's business location address is:

3560 OLINVILLE AVE APT 1F
2118 WILLLIAMBRIDGE ROAD
BRONX, NY
ZIP 10467-533
Phone: (718) 618-7337
Fax: (646) 401-7420

The provider's authorized official is Joe Wright .
The authorized official title is Ceo and has the following contact phone number (718) 618-7337.

The enumeration date for this NPI number is 2/28/2013 and was last updated on 2/28/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	33335470	NEW YORK	Yes
2	176B00000X	Midwife		3333470	NEW YORK	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	03165299	MEDICAID	NEW YORK
2	02382052	MEDICAID	NEW YORK
3	02197271	MEDICAID	NEW YORK
4	01841010	MEDICAID	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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