Organization Active NPI

Shura, Incorporated

  • Case Management Agency
  • Pikesville, MD
National Provider Identifier
1861124372
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SHURA, INCORPORATED
Practice address
116 Slade Ave
Pikesville, MD 21208-4908
Phone
(443) 660-7664
Fax
(410) 413-6940
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Tiye Mulazim
Title
Chief Business/Financial Officer
Phone
(443) 660-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

116 Slade Ave
Pikesville, MD 21208-4908

Mailing address

116 Slade Ave
Pikesville, MD 21208-4908
Phone (443) 660-7664

Other names 2

  • Shura, Inc Doing business as
  • Shura, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

116 Slade Ave
Pikesville, MD 21208
Phone (410) 653-0021

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1861124372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SLADE AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084908",
            "telephone_number": "443-660-7664",
            "fax_number": "410-413-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SLADE AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084908",
            "telephone_number": "443-660-7664",
            "fax_number": "410-413-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHURA, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "MULAZIM",
        "authorized_official_first_name": "TIYE",
        "authorized_official_title_or_position": "CHIEF BUSINESS/FINANCIAL OFFICER",
        "authorized_official_telephone_number": "443-660-7664"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shura, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shura, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.