Shades Friendly Living LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

SHADES FRIENDLY LIVING LLC

Doing business as

Shades Friendly Living LLC

Practice address

519 17TH St SE
Mason City, IA 50401-6011

Phone

(614) 598-3311

NPI assigned

Feb 19, 2024

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abubakarr George Bockare Sillah, CEO

Title

Executive Director

Phone

(614) 598-3311

Specialties & licenses 4

Addresses

Other names 1

• Shades Friendly Living LLC Doing business as

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1073378170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 SE 8TH LN UNIT 31",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114241",
            "telephone_number": "614-598-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 17TH ST SE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504016011",
            "telephone_number": "614-598-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 SE 8th Ln Unit 31",
            "address_purpose": "LOCATION",
            "city": "Grimes",
            "state": "IA",
            "postal_code": "501114241",
            "country_code": "US",
            "telephone_number": "614-598-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHADES FRIENDLY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "SILLAH",
        "authorized_official_first_name": "ABUBAKARR",
        "authorized_official_middle_name": "GEORGE BOCKARE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-598-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shades Friendly Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie C Seemuth, D.O.
• Christopher Lee Seger, BA
• Lynne M Senty, DO
• Jodi Servin, LMSW
• Wade A Sewell, DO
• Jayne Susan Shaffer
• Santosh Shah, MD
• Jaffar A Shaikh, MD
• Katie Shannon, DNP
• Tamara Cayle Shannon, LMHC

• Home Health Aide in Mason City, IA
• Providers in Mason City, IA by specialty
• Home Health Aide in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.