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SHADY PINES ADULT DAY SERVICES
NPI 1225221658
Clinic/Center - Adult Day Care in Salisbury, MD

Active since August 20, 2007CLIA 21D0896708 · Waiver
1929 NORTHWOOD DR, SALISBURY, MD 21801(443) 523-0050(443) 523-0053 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shady Pines Adult Day Services NPPES

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

SHADY PINES ADULT DAY SERVICES (NPI 1225221658) is a healthcare organization registered as an adult day care in Salisbury, Maryland and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Freddy L. Mitchell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225221658
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameSHORE UP INC
Location Address1929 NORTHWOOD DRSalisbury, MD 21801-7828
Mailing Address520 Snow Hill RdSalisbury, MD 21804-6031 · (410) 749-1142 · Fax (410) 742-9191
Phone(443) 523-0050
Fax(443) 523-0053
Organization SubpartYes
Authorized OfficialFreddy L. MitchellExecutive Director · (410) 749-1142
Enumeration DateAugust 20, 2007
✔ NPI 1225221658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in MD · 22001
1929 NORTHWOOD DR, Salisbury, MD 21801
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Other Names 1

Doing Business AsShady Pines Adult Day Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0896708

Shore Up Adult Medical Day Care · Salisbury, MD
Active · expires Feb 18, 2027
CLIA Number21D0896708
Laboratory TypeOther
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorChristjon Huddleston
Laboratory Phone(410) 749-1142
Laboratory LocationShore Up Adult Medical Day Care1929 Northwood Dr, Salisbury, MD 21804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shore Up Inc's NPI number?

The NPI number for Shore Up Inc is 1225221658. It was assigned to this organization in the NPPES registry on August 20, 2007. The provider is doing business as Shady Pines Adult Day Services.

Where is Shore Up Inc located?

Shore Up Inc is located at 1929 Northwood Dr, Salisbury, MD 21801. The listed phone number is (443) 523-0050.

What is Shore Up Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Shore Up Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0896708) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shore Up Inc was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.