SHOREHAVEN, INC. – NPI #1558405423
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

SHOREHAVEN, INC. is a residential treatment facility located in ELKTON, MD. NPPES has assigned the NPI number 1558405423 to SHOREHAVEN, INC. on February 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHOREHAVEN, INC. below.

NPI Profile for
SHOREHAVEN, INC.

NPI Number
1558405423
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHOREHAVEN, INC.
Primary location
1040 SINGERLY RD
ELKTON, MD 21921-4932
Phone: (410) 398-9850 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRENDA MACK-BOWMAN
CSCRP EDUCATION SPECIALIST
Phone: (302) 735-4071
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.