<Unavail>

LBN: Shadow Housing Inc
<Unavail> is an health care organization with primary practice located at 3560 Olinville Ave Apt 1F 2118 Willliambridge Road, Bronx NY 10467-5533. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Other Service Providers / Midwife. Nursing Service Providers / Community Health is the primary health care specialty. Shadow Housing Inc can be contacted via phone (718) 618-7337, or through Wright, Joe via phone (718) 618-7337.

Contact Information

Primary practice address
3560 Olinville Ave Apt 1F 2118 Willliambridge Road Bronx NY 10467-5533
Fax: (646) 401-7420
Website:
Authorized official contact:
Name: Wright, Joe

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 33335470 New York
Other Service Providers / Midwife 176B00000X 3333470 New York

Profile Details

NPI number 1861732893
LBN Legal business name Shadow Housing Inc
DBA Doing business as <Unavail>
Authorized official Wright, Joe
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 28th, 2013
Last updated Feb 28th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861732893 NPPES
New York MEDICAID 02382052
New York MEDICAID 02197271
New York MEDICAID 03165299
New York MEDICAID 01841010

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