Shore Up Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0689 Issued in MD

Legal business name

SHORE UP INC

Doing business as

Westover Adult Day Services

Practice address

8395 Old Westover Rd
Westover, MD 21871

Phone

(410) 651-4925

Fax

(410) 651-4928

NPI assigned

Aug 22, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

SHORE UP INCAs reported in NPPES

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

Authorized official

Name

Mr. Freddy L. Mitchell

Title

Executive Director

Phone

(410) 749-1142

Specialties & licenses 1

Addresses

Other names 1

• Westover Adult Day Services Doing business as

Tax ID family

Shore Up Inc3 organizations share this tax ID, including this one

Part of

Shore Up Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shore Up Inc

  dba Shady Pines Adult Day Services

  • Adult Day Care Clinic/Center
  • Salisbury, MD
  • NPI 1225221658
  NPD tax ID
• Shore Up Inc.

  • Home Health Agency
  • Salisbury, MD
  • NPI 1982739090
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Shore Up Inc.

  • Home Health Agency
  • Salisbury, MD
  • NPI 1982739090
  NPPES parent name

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1568655744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SNOW HILL RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046031",
            "telephone_number": "410-749-1142",
            "fax_number": "410-472-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 OLD WESTOVER RD",
            "city": "WESTOVER",
            "state": "MD",
            "postal_code": "21871",
            "telephone_number": "410-651-4925",
            "fax_number": "410-651-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE UP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHORE UP INC",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-749-1142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "0689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westover Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Internal Waves Counseling LLC
• Neal Jeffrey Musselman, DO
• Robert Scott Nichols, DDS
• Psychological Offices of Doris C. Garner, PH.D., PC
• Alyssa Blair Reese, PHARMD
• Somerset County Health Department
• Somerset County Health Department
• Somerset County Health Department
• Somerset County Health Department
• Somerset County Health Department

• Adult Day Care Clinic/Center in Westover, MD
• Providers in Westover, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.