S.H.A.P.E SOLUTIONS LLC (NPI# 1023583069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023583069 |
| Entity Type | Organization |
| Organization Name | S.H.A.P.E SOLUTIONS LLC |
| Practice Address |
12237 Fairfield House Dr Apt 311 Fairfax VA 22033-3953 |
| Mailing Address |
3448 Andrew Ct Apt 102 Laurel MD 20724-2359 |
| Practice Telephone | 2022159252 |
| Mailing Telephone | 2022159252 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | MS. CAROLYN R. YOUNG (PRESIDENT) |
| Authorized Official Telephone | 2022159252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NONE | Y520108734422 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | SHAMROCK HARDSCAPE SOLUTIONS LLC | 3066 Evelyn Drive, Youngstown, OH 44511 |
| System for Award Management (SAM) Entities | SHILOH PEST AND LANDSCAPE SOLUTIONS LLC | 1105 E Main St Unit A224, Allen, TX 75002-3909 |
| Street Address |
12237 FAIRFIELD HOUSE DR APT 311 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1982621876 | Job Discovery, Inc. | Day Training, Developmentally Disabled Services | 10345 Democracy Ln, Fairfax, VA 22030-2505 | 2006-07-16 |
| 1104204262 | Outstanding Possibilities Revealed, LLP | Day Training, Developmentally Disabled Services | 3022 Javier Rd, Suite 130, Fairfax, VA 22031-4645 | 2015-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043317 | Golgota Health Services Inc | Day Training, Developmentally Disabled Services | 4216 Evergreen Ln Ste 133, Annandale, VA 22003-3256 | 2020-11-05 |
| 1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
| 1730794603 | Momentum 180 LLC | Day Training, Developmentally Disabled Services | 700 Mobjack Pl Ste 201, Newport News, VA 23606-1957 | 2020-09-09 |
| 1285243626 | The Arc of Harrisonburg and Rockingham Inc. | Day Training, Developmentally Disabled Services | 620 Simms Ave, Harrisonburg, VA 22802-4813 | 2020-07-30 |
| 1316565351 | Riverside Counseling and Consulting | Day Training, Developmentally Disabled Services | 4 S 1st St, Richmond, VA 23219-3717 | 2020-07-07 |
| 1578185807 | Artis Transitions Inc | Day Training, Developmentally Disabled Services | 217 W Beverley St, Staunton, VA 24401-4206 | 2020-05-08 |
| 1063046159 | Progressive Steps Family Services LLC | Day Training, Developmentally Disabled Services | 700 Lombardy Ave Apt 7413, Newport News, VA 23606-3368 | 2020-02-27 |
| 1629602891 | The Gates of Beautiful LLC | Day Training, Developmentally Disabled Services | 7839 Ashton Ave, Manassas, VA 20109-2883 | 2020-02-26 |
| 1386288041 | Azarel Community Support, LLC | Day Training, Developmentally Disabled Services | 112 Brandon Rd, Richmond, VA 23224-1212 | 2019-11-05 |
| 1831732312 | The Branch Community Group | Day Training, Developmentally Disabled Services | 24293 Lankford Highway, Tasley, VA 23441 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.