=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356281232
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SNS CARES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2026
-----------------------------------------------------
Last Update Date | 03/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 401 COMMERCE DR STE 107
-----------------------------------------------------
City | FORT WASHINGTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19034-2714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-595-9828
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1540 ARLINE AVE
-----------------------------------------------------
City | ABINGTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19001-1502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-595-9828
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER
-----------------------------------------------------
Name | SHAKIRA JACQULINE WALLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 267-896-0493
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 172V00000X
-----------------------------------------------------
Taxonomy Name | Community Health Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------