Organization Active NPI

Shape Shyft

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Nottingham, MD
National Provider Identifier
1144170267
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
SHAPE SHYFT
Practice address
3 Kinwall PL
Nottingham, MD 21236-3321
Phone
(302) 377-1062
NPI assigned
Jan 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jahaan Davis, IEP CHAIR
Title
Owner
Phone
(302) 377-1062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

3 Kinwall PL
Nottingham, MD 21236-3321

Mailing address

3 Kinwall PL
Nottingham, MD 21236-3321
Phone (302) 377-1062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1144170267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KINWALL PL",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363321",
            "telephone_number": "302-377-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 KINWALL PL",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363321",
            "telephone_number": "302-377-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPE SHYFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAHAAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-377-1062",
        "authorized_official_credential": "IEP CHAIR"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.