Shrouded Valley Enterprises Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHROUDED VALLEY ENTERPRISES INC

Practice address

24 Veterans SQ
Media, PA 19063-3155

Phone

(610) 484-4866

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Bryan Shrouds

Title

Owner

Phone

(610) 484-4866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1760215396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VETERANS SQ",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633155",
            "telephone_number": "610-484-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VETERANS SQ",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633155",
            "telephone_number": "610-484-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHROUDED VALLEY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SHROUDS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-484-4866"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Anne Shillady, PTA
• Lane K. Shima, D.O.
• Kelsy Shoap, PA-C
• Katherine Shore
• Regina May Showell, M.D.
• Kristina McRae Shuffler, D.C.
• Victoria Shuleski, PTA
• Karen Joyce Shupack, RDN
• Usman Ahmed Siddiqui, M.D.
• Devon Sierzega, ATC

• In Home Supportive Care Agency in Media, PA
• Providers in Media, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.