NPIMap

Organization Active NPI

Maple Shade Youth and Family Services, Inc.

  • Case Management Agency
  • Crisfield, MD
National Provider Identifier
1013246271
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAPLE SHADE YOUTH AND FAMILY SERVICES, INC.
Practice address
382 W Main St
Crisfield, MD 21817-1329
Phone
(410) 202-2750
NPI assigned
Dec 17, 2009
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jarvia Fishell
Title
Ceo
Phone
(410) 742-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

382 W Main St
Crisfield, MD 21817-1329

Mailing address

382 W Main St
Crisfield, MD 21817-1329
Phone (410) 202-2750

Other names 1

  • Crisfield PRP Other name

National Provider Directory

National Provider Directory
Tax ID family
Maple Shade Youth Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1013246271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 W MAIN ST",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218171329",
            "telephone_number": "410-202-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W MAIN ST",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "218171329",
            "telephone_number": "410-202-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SHADE YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "FISHELL",
        "authorized_official_first_name": "JARVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-742-7400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crisfield PRP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crisfield, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.