Shelleyswayllc

LBN: Shelleyswayllc
Shelleyswayllc is an health care organization with primary practice located at 50 Union Ave Ste 804B , Irvington NJ 07111-5221. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Shelleyswayllc can be contacted via phone (862) 438-6121, or through Porter, Shelley via phone (732) 485-4681.

Contact Information

Primary practice address
50 Union Ave Ste 804B Irvington NJ 07111-5221
Phone: (862) 438-6121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Porter, Shelley
Phone: (732) 485-4681

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1639645179
LBN Legal business name Shelleyswayllc
DBA Doing business as
Authorized official Porter, Shelley
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2018
Last updated May 21st, 2024 - about 6 months 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 1639645179 NPPES
New Jersey MEDICAID 0987042
New Jersey MEDICAID 0594628

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