Shangri-la Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

13AL0225 Issued in MD

Legal business name

SHANGRI-LA HOMES LLC

Practice address

4475 Montgomery Rd
Ellicott City, MD 21043-6007

Phone

(443) 802-9071

Fax

(410) 750-7938

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Amit Ghosh

Title

Director of Operations

Phone

(443) 802-9071

Specialties & licenses 1

Addresses

Other names 1

• Shangri-La Assisted Living Doing business as

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1164726527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 MONTGOMERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436007",
            "telephone_number": "443-802-9071",
            "fax_number": "410-750-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 MONTGOMERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436007",
            "telephone_number": "443-802-9071",
            "fax_number": "410-750-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "GHOSH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "443-802-9071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "13AL0225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shangri-La Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Shaeffer, MS, CCC-SLP
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• Madeeha Shams, M.D.
• Andra Shanley, OTR/L
• Dorothy A, Shannon, PH.D.
• Shape Shifters Wellness Studio, LLC
• Edward John Sharkey, DMD
• Bikash Sharma, M.D.

• Assisted Living Facility in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.