National Provider Identifier Database

SHORE COMMUNITY SERVICES INC
Respite Care


Contact Information

SHORE COMMUNITY SERVICES INC
4232 DEMPSTER ST
SKOKIE, IL60076
Phone: 847-982-2030
Fax: 847-982-2039
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for SHORE COMMUNITY SERVICES INC

NPI Number 1447393699
Legal business name
LBN
SHORE COMMUNITY SERVICES INC
Authorized official GERALD GULLEY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/15/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 14G084

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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