SHORE COMMUNITY SERVICES INC; NPI #1447393699

Contact Information

SHORE COMMUNITY SERVICES INC

4232 DEMPSTER ST
SKOKIE, IL 60076

Phone: 847-982-2030
Fax: 847-982-2039
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care	385H00000X
Day Training, Developmentally Disabled Services	251C00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X

Indicates primary specialty

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NPI Profile & details for SHORE COMMUNITY SERVICES INC

NPI # 1447393699

LBN Legal business name SHORE COMMUNITY SERVICES INC

Authorized official GERALD GULLEY - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/15/2007

Last updated 09/11/2025 - About 9 months ago

Identifiers

Medicaid

14G084

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SHORE COMMUNITY SERVICES INC

Contact Information

Specialty

Respite Care

Day Training, Developmentally Disabled Services

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for SHORE COMMUNITY SERVICES INC

Reviews for SHORE COMMUNITY SERVICES INC