OrganizationActive
Shady Rest Residential Facility
NPI 1003321654 · In Home Supportive Care Agency · Mt Laurel, NJ
Shady Rest Residential Facility is a In Home Supportive Care Agency organization in Mt Laurel, NJ (NPI 1003321654).
Provider details
- NPI number
- 1003321654
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dioun Young, Owner(856) 668-6610
Specialties & taxonomies
Agencies
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
343 Texas Ave
Mt Laurel, NJ 08054-0805
Phone: (856) 668-6610
Fax: (856) 668-6610
Street-level locationGet directions
Mailing address
343 Texas Ave
Mount Laurel, NJ 08054-3510
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2017-12-05
Frequently asked questions
- What is Shady Rest Residential Facility's NPI number?
- Shady Rest Residential Facility's National Provider Identifier (NPI) is 1003321654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Rest Residential Facility?
- Shady Rest Residential Facility is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Shady Rest Residential Facility located?
- Shady Rest Residential Facility's practice location on file with NPPES is 343 Texas Ave, Mt Laurel, NJ 08054-0805.
- What is Shady Rest Residential Facility's phone number?
- The practice phone number listed in the NPPES registry for Shady Rest Residential Facility is (856) 668-6610.
- Who is the authorized official for Shady Rest Residential Facility?
- The authorized official listed on Shady Rest Residential Facility's NPPES record is Dioun Young, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Rest Residential Facility's NPI active?
- Yes — Shady Rest Residential Facility's NPI (1003321654) is active in the NPPES registry as of the last update on 2017-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.