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SHEA REHABILITATION SERVICESLLC NPI 1558684654


NPI Information

NPI: 1558684654
Provider Name: SHEA REHABILITATION SERVICES,LLC
Classification: Contractor - 171W00000X
Entity Type: Organization
Address:
11 ERIC RD
FAIRFIELD, NJ
ZIP 07004
Phone: (201) 396-1332
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SHEA REHABILITATION SERVICES,LLC is a contractor in Fairfield, NJ. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). SHEA REHABILITATION SERVICES,LLC NPI is 1558684654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 ERIC RD
FAIRFIELD, NJ
ZIP 07004-303
Phone: (201) 396-1332

The provider's authorized official is Robert Kevin Shea .
The authorized official title is President and has the following contact phone number (201) 396-1332.

The enumeration date for this NPI number is 3/4/2010 and was last updated on 3/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractor40QA00198200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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