NPIMap

Organization Active NPI

Shedrick Family Wellness, Inc

  • Community/Behavioral Health Agency
  • Hagerstown, MD
National Provider Identifier
1609632785
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHEDRICK FAMILY WELLNESS, INC
Practice address
412 N Potomac St
Hagerstown, MD 21740-3958
Phone
(443) 438-5612
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Mrs. Beatrice Shedrick
Title
Ceo
Phone
(443) 438-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

412 N Potomac St
Hagerstown, MD 21740-3958

Mailing address

412 N Potomac St
Hagerstown, MD 21740-3958
Phone (443) 438-5612

National Provider Directory

National Provider Directory
Tax ID family
Shedrick Family Wellness Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1609632785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403958",
            "telephone_number": "443-438-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403958",
            "telephone_number": "443-438-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEDRICK FAMILY WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-438-5612",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.