NPIMap

Organization Active NPI

Shared Support, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sunbury, PA
National Provider Identifier
1508081050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
306740 Issued in PA
Legal business name
SHARED SUPPORT, INC.
Practice address
218 Bridge Ave
Sunbury, PA 17801-1006
Phone
(570) 286-4982
Fax
(570) 286-4984
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth Devett
Title
Ceo
Phone
(570) 286-4982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 306700 PA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 306740 PA Primary

Addresses

Primary practice location

218 Bridge Ave
Sunbury, PA 17801-1006

Mailing address

218 Bridge Ave
Sunbury, PA 17801-1006
Phone (570) 286-4982

National Provider Directory

National Provider Directory
Tax ID family
Shared Support Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508081050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BRIDGE AVE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011006",
            "telephone_number": "570-286-4982",
            "fax_number": "570-286-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BRIDGE AVE",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011006",
            "telephone_number": "570-286-4982",
            "fax_number": "570-286-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVETT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-286-4982"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "306700",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "306740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.