QUEENSHADE
NPI 1346864212
Community/Behavioral Health in Irvington, NJ

Active since June 05, 2020
1200 CLINTON AVE STE 100C1, IRVINGTON, NJ 07111(862) 576-3281 Get Directions Write a Review

NPPES record last updated: January 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2025, Oct 7, 2022, Jun 5, 2020 (3 updates tracked since 2020).

About Queenshade NPPES

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

QUEENSHADE (NPI 1346864212) is a healthcare organization registered as a community/behavioral health in Irvington, New Jersey and active in the NPI registry since June 2020. The organization lists Folashade E Adebiyi, Director, as its authorized official.

NPPES Registry Identity

NPI1346864212
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameQUEENSHADE LLC
Location Address1200 CLINTON AVE STE 100C1Irvington, NJ 07111-2070
Mailing Address33 Rich StIrvington, NJ 07111-2020 · (908) 656-4387
Organization SubpartNo
Authorized OfficialFolashade E AdebiyiDirector · (908) 656-4387
Enumeration DateJune 5, 2020
Last NPPES UpdateJanuary 12, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2025
NPI 1346864212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1200 CLINTON AVE STE 100C1, Irvington, NJ 07111

Other Names 1

Other NameQueenshade

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 Queenshade LLC's NPI number?

The NPI number for Queenshade LLC is 1346864212. It was assigned to this organization in the NPPES registry on June 5, 2020. The provider is also known as Queenshade.

Where is Queenshade LLC located?

Queenshade LLC is located at 1200 Clinton Ave Ste 100c1, Irvington, NJ 07111. The listed phone number is (862) 576-3281.

What is Queenshade LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Queenshade LLC was last updated on January 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.