Shore Community Services Inc

LBN: Shore Community Services Inc
Shore Community Services Inc is an health care organization with primary practice located at 4232 Dempster St , Skokie IL 60076. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Shore Community Services Inc can be contacted via phone (847) 982-2030, or through Gulley, Gerald via phone (847) 982-2030.

Contact Information

Primary practice address
4232 Dempster St Skokie IL 60076
Phone: (847) 982-2030
Fax: (847) 982-2039
Website:
Map and Directions
Authorized official contact:
Name: Gulley, Gerald
Phone: (847) 982-2030

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1447393699
LBN Legal business name Shore Community Services Inc
DBA Doing business as
Authorized official Gulley, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447393699 NPPES
Illinois MEDICAID 14G084

Popular Providers