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Shady Rest Residential Facility

In Home Supportive Care Agency in Mt Laurel, NJ · enumerated 2017 · authorized official Dioun Young, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003321654

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Registry record

Entity type Organization (Type 2)
Legal business name Shady Rest Residential Facility
Practice address 343 Texas Ave, Mt Laurel, NJ, 08054
Phone (856) 668-6610
Fax (856) 668-6610
Enumeration date Dec 5, 2017
Last updated in NPPES Dec 5, 2017

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies Primary

Authorized official

Name Dioun Young
Title Owner
Phone (856) 668-6610

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Shady Rest Residential Facility?
The NPI for Shady Rest Residential Facility is 1003321654, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shady Rest Residential Facility?
NPPES lists Dioun Young (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-12-05.