1. Home
  2. Directory
  3. New Jersey
  4. Mt Laurel
  5. In Home Supportive Care
  6. NPI Profile

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

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: July 19, 2026.

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
Open in Google Maps ↗

Frequently Asked Questions

What is SHADY REST RESIDENTIAL FACILITY's NPI number?

The NPI number assigned to this healthcare provider is 1003321654, enumerated as an "organization" on December 05, 2017.

Where is the provider located?

The provider is located at 343 TEXAS AVE MT LAUREL, NJ 08054 and the phone number is (856) 668-6610.

What is the provider's specialty?

In Home Supportive Care with taxonomy code 253Z00000X.