SHOREHAVEN, INC. (NPI# 1790172278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790172278 |
| Entity Type | Organization |
| Organization Name | SHOREHAVEN, INC. |
| Practice Address |
1040 Singerly Rd Elkton MD 21921-4932 |
| Practice Telephone | 4103989850 |
| Practice Fax Number | 4103989801 |
| Mailing Telephone | 4103989850 |
| Mailing Fax Number | 4103989801 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | MR. LEONARD ROBERT EDGE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4103989850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558405423 | Shorehaven, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1040 Singerly Rd, Elkton, MD 21921-4932 | 2007-02-16 |
| Street Address |
1040 SINGERLY RD |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558405423 | Shorehaven, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1040 Singerly Rd, Elkton, MD 21921-4932 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730568544 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 3035 Singerly Rd, Elkton, MD 21921-2647 | 2015-05-26 |
| 1134309024 | Elkton School District 5-3 | Local Education Agency (LEA) | 508 Buffalo St, Elkton, SD 57026-0190 | 2007-11-07 |
| 1659427383 | Todd County Board of Education | Local Education Agency (LEA) | 205 Airport Rd., Elkton, KY 42220 | 2007-01-26 |
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|---|---|---|---|---|
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| 1760847875 | Juvenile Services Education | Local Education Agency (LEA) | 200 W Baltimore St, Baltimore, MD 21201-2549 | 2015-12-17 |
| 1265811079 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 636 Broad St, Suite 101, Perryville, MD 21903-2814 | 2015-05-26 |
| 1184003915 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 95 Catalpa Dr, Suite 100, La Plata, MD 20646-4312 | 2015-05-26 |
| 1902285737 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 1220 Caraway Ct, Suite 1070, Largo, MD 20774-5338 | 2015-05-26 |
| 1750760583 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 1131 Benfield Blvd, Millersville, MD 21108-2600 | 2015-05-26 |
| 1396124129 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 900 Druid Hill Ave, Baltimore, MD 21201-1207 | 2015-05-26 |
| 1376922104 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 12050 Baltimore Ave, Beltsville, MD 20705-1247 | 2015-05-26 |
| 1639558554 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 7707 German Hill Rd, Baltimore, MD 21222-1525 | 2015-05-26 |
| 1578942306 | Specialized Education of Md, Inc. | Local Education Agency (LEA) | 5100 Philadelphia Way, Lanham, MD 20706-4412 | 2015-05-26 |
| 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.