Provider Demographics
NPI:1235729054
Name:SHECKEL HOMES LLC
Entity Type:Organization
Organization Name:SHECKEL HOMES LLC
Other - Org Name:SHECKEL HOMES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-735-6262
Mailing Address - Street 1:1205 NEW JERSEY AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1225
Mailing Address - Country:US
Mailing Address - Phone:202-735-6262
Mailing Address - Fax:
Practice Address - Street 1:1205 NEW JERSEY AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1225
Practice Address - Country:US
Practice Address - Phone:202-735-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities