Provider Demographics
NPI:1194300103
Name:SHROPE'S BOARDING HOME, INC
Entity type:Organization
Organization Name:SHROPE'S BOARDING HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-724-7797
Mailing Address - Street 1:108 BEAR TRACK DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-8253
Mailing Address - Country:US
Mailing Address - Phone:513-724-7797
Mailing Address - Fax:
Practice Address - Street 1:108 BEAR TRACK DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-8253
Practice Address - Country:US
Practice Address - Phone:513-724-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care