Healthcare Provider Details

I. General information

NPI: 1447154570
Provider Name (Legal Business Name): THE SHIFT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8612 KITTAMA DR
CLINTON MD
20735-3178
US

IV. Provider business mailing address

8612 KITTAMA DR
CLINTON MD
20735-3178
US

V. Phone/Fax

Practice location:
  • Phone: 240-234-5293
  • Fax:
Mailing address:
  • Phone: 240-234-5293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: UJU ARINZE CHUKWUKA
Title or Position: CEO
Credential:
Phone: 240-234-5293