Shedev Community Outreach Center, Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

SHEDEV COMMUNITY OUTREACH CENTER, INC

Practice address

11812 Gilmerton Dr
Riverview, FL 33579-3929

Phone

(718) 637-1556

NPI assigned

Sep 27, 2017

Organization subpart

Yes

Parent organization

SHEDEV COMMUNITY OUTREACH CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Sheron Alexis-John

Title

President

Phone

(718) 637-1556

Specialties & licenses 4

Addresses

Other names 1

• Personal Touch Rehabilitation And Wellness Doing business as

Part of

Shedev Community Outreach Center Inc

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710496237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13194 US HIGHWAY 301 S STE 147",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787410",
            "telephone_number": "813-677-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 GILMERTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793929",
            "telephone_number": "718-637-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13194 US Highway 301 S Ste 147",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787410",
            "country_code": "US",
            "telephone_number": "813-677-8106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEDEV COMMUNITY OUTREACH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEDEV COMMUNITY OUTREACH CENTER",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALEXIS-JOHN",
        "authorized_official_first_name": "SHERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-637-1556",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Touch Rehabilitation And Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Michele Shankland, PHARM.D.
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• Asim Shareef, DO
• Courtney Royal Sharpe
• Marilyn Shaw
• Michael Mina Hany Shehata, MD
• Shepherd Homes Corp
• Stefanie Anne Sherman, LCPC
• Rahul Sheth
• Ellen Shewmaker, MS, LCAT, LMHC

• Hearing and Speech Clinic/Center in Riverview, FL
• Providers in Riverview, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.