SHAHIDA K SYED ENTERPRISES LLC NPI 1467048579

NPI Information

  • NPI: 1467048579
  • Provider Name: SHAHIDA K SYED ENTERPRISES LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: SHAHIDA'S PLACE
  • CLIA Number: 05D2250000
  • Address: 19660 ARCADIA ST
    CORONA, CA
    ZIP 92881
  • Phone: (909) 367-6818

Map and Directions

Get Directions

NPI Details

SHAHIDA K SYED ENTERPRISES LLC is a substance abuse rehabilitation facility in Corona, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SHAHIDA K SYED ENTERPRISES LLC NPI is 1467048579. The provider is registered as an organization entity type.
The provider Is Doing Business As Shahida's Place.

The provider's business location address is:

19660 ARCADIA ST
CORONA, CA
ZIP 92881-302
Phone: (909) 367-6818

The provider's authorized official is Abby Boyd .
The authorized official title is Billing Director and has the following contact phone number (772) 353-1410.

The CLIA number assigned to this NPI record is 05D2250000 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2020 and was last updated on 12/3/2024.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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 Other Provider Identifier Issuer
1330179BPOTHERCALIFORNIASTATE LICENSE
2330179CPOTHERCALIFORNIASTATE LICENSE

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI