Provider Demographics
NPI:1306710462
Name:SHANAHAN & ASSOCIATES, INC.
Entity type:Organization
Organization Name:SHANAHAN & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-450-4300
Mailing Address - Street 1:PO BOX 87371
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92138-7371
Mailing Address - Country:US
Mailing Address - Phone:619-450-4300
Mailing Address - Fax:760-539-7755
Practice Address - Street 1:1635 LAKE SAN MARCOS DR STE 201-A
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4661
Practice Address - Country:US
Practice Address - Phone:619-450-4300
Practice Address - Fax:760-539-7755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health