Organization Active NPI

De Shanique Enterprise LLC

  • In Home Supportive Care Agency
  • Laurel, MD
National Provider Identifier
1528706934
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DE SHANIQUE ENTERPRISE LLC
Doing business as
DE Shanique Homecare
Practice address
8305 Green Grass Rd
Laurel, MD 20724-3909
Phone
(202) 873-0575
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Shanique Walker
Title
Owner
Phone
(202) 873-0575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8305 Green Grass Rd
Laurel, MD 20724-3909

Mailing address

8305 Green Grass Rd
Laurel, MD 20724-3909

Other names 1

  • DE Shanique Homecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1528706934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 GREEN GRASS RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207243909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 GREEN GRASS RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207243909",
            "telephone_number": "202-873-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE SHANIQUE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHANIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-873-0575"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DE Shanique Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.