SHORE COMMUNITY SERVICES INC. NPI 1487251195

NPI Information

NPI: 1487251195
Provider Name: SHORE COMMUNITY SERVICES, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
8221 TEAL DR STE 422
EASTON, MD
ZIP 21601
Phone: (240) 264-0000
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SHORE COMMUNITY SERVICES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Easton, MD. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SHORE COMMUNITY SERVICES, INC. NPI is 1487251195. The provider is registered as an organization entity type.

The provider's business location address is:

8221 TEAL DR STE 422
EASTON, MD
ZIP 21601-212
Phone: (240) 264-0000
Fax: (410) 630-7557

The provider's authorized official is Osita Ibe .
The authorized official title is Owner/director and has the following contact phone number (240) 421-4882.

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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

NPI Synchronization or Removal

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