Provider Demographics
| NPI: | 1629838321 |
|---|---|
| Name: | SHELTERING ARMS TRANSPORTATION & SUPPORTED SERVICES LLC |
| Entity Type: | Organization |
| Organization Name: | SHELTERING ARMS TRANSPORTATION & SUPPORTED SERVICES LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | MISS |
| Authorized Official - First Name: | TIFFANY |
| Authorized Official - Middle Name: | DION |
| Authorized Official - Last Name: | CUNDIFF |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 330-309-4542 |
| Mailing Address - Street 1: | 1311 37TH ST NE APT G |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CANTON |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 44714-1349 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 330-309-4542 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1311 37TH ST NE APT G |
| Practice Address - Street 2: | |
| Practice Address - City: | CANTON |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 44714-1349 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 330-309-4542 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-03-20 |
| Last Update Date: | 2024-03-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | |
| No | 251J00000X | Agencies | Nursing Care | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| No | 347B00000X | Transportation Services | Bus | |
| No | 385H00000X | Respite Care Facility | Respite Care | |
| No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
| No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |
