SHADY REST RESIDENTIAL FACILITY
NPI 1003321654
In Home Supportive Care in Mt Laurel, NJ

Q: What is Shady Rest Residential Facility's NPI number?

The NPI number for Shady Rest Residential Facility is 1003321654. It was assigned to this organization in the NPPES registry on December 5, 2017.

Q: What is Shady Rest Residential Facility's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since December 05, 2017

343 TEXAS AVE, MT LAUREL, NJ 08054(856) 668-6610(856) 668-6610 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shady Rest Residential Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY REST RESIDENTIAL FACILITY (NPI 1003321654) is a healthcare organization registered as an in home supportive care in Mt Laurel, New Jersey and active in the NPI registry since December 2017. The organization lists Dioun Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1003321654

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameSHADY REST RESIDENTIAL FACILITY

Location Address343 TEXAS AVEMt Laurel, NJ 08054-0805

Mailing Address343 Texas AveMount Laurel, NJ 08054-3510 · (856) 668-6610

Phone(856) 668-6610

Fax(856) 668-6610

Organization SubpartNo

Authorized OfficialDioun YoungOwner · (856) 668-6610

Enumeration DateDecember 5, 2017

✔ NPI 1003321654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

343 TEXAS AVE, Mt Laurel, NJ 08054

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Rest Residential Facility's NPI number?

The NPI number for Shady Rest Residential Facility is 1003321654. It was assigned to this organization in the NPPES registry on December 5, 2017.

Where is Shady Rest Residential Facility located?

Shady Rest Residential Facility is located at 343 Texas Ave, Mt Laurel, NJ 08054. The listed phone number is (856) 668-6610.

What is Shady Rest Residential Facility's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Shady Rest Residential Facility was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.