Shady Rest Residential Facility
In Home Supportive Care in Mt Laurel, New Jersey
1003321654- Practice location
- 343 Texas Ave, Mt Laurel, NJ 08054-0805
- Phone
- 856-668-6610
- Fax
- 856-668-6610
- Last updated
- December 5, 2017
Shady Rest Residential Facility is a healthcare organization based in Mt Laurel, NJ. Shady Rest Residential Facility practices in Mt Laurel, NJ. The NPI Number for Shady Rest Residential Facility is 1003321654. The current practice location address for Shady Rest Residential Facility is 343 Texas Ave, Mt Laurel, NJ 08054-0805 and can be reached out via phone at 856-668-6610 and via fax at 856-668-6610.
Provider Profile Details
- NPI Number
- 1003321654
- Provider Name
- Shady Rest Residential Facility
- Provider Entity Type
- Organization
- Address
- 343 Texas Ave, Mt Laurel, NJ 08054-0805
- Phone Number
- 856-668-6610
- Fax Number
- 856-668-6610
- Primary Taxonomy
- In Home Supportive Care · 253Z00000X
- Organization Subpart
- No
- Authorized Official
- Dioun Young · Owner · 856-668-6610
- Provider Enumeration Date
- December 5, 2017
- Last Update Date
- December 5, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 343 Texas Ave
Mt Laurel, NJ 08054-0805 - City
- Mt Laurel
- State
- New Jersey
- Zip
- 08054-0805
- Phone Number
- 856-668-6610
- Fax Number
- 856-668-6610
Provider Business Mailing Address Details
- Address
- 343 Texas Ave
Mount Laurel, NJ 08054-3510 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-3510
- Phone Number
- 856-668-6610
License Information
- Taxonomy
- In Home Supportive Care · 253Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shady Rest Residential Facility?
The NPI number of Shady Rest Residential Facility is 1003321654. It was assigned on December 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Shady Rest Residential Facility?
Shady Rest Residential Facility is registered under the primary taxonomy In Home Supportive Care (code 253Z00000X).
Where does Shady Rest Residential Facility practice?
The practice location is 343 Texas Ave, Mt Laurel, NJ 08054-0805. The office can be reached at 856-668-6610 (phone) or 856-668-6610 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003321654 directly on the NPPES registry website.