MEDICARE: SHANNON CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1205785078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANNON CARE, LLC

Provider Business Mailing Address
First Line	:	2227 BEL PRE RD STE 124
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2204
Country	:	US
Telephone Number	:	484-264-5198
Fax Number	:

Provider Business Practice Location Address
First Line	:	2413 SHANNON PL SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020
Country	:	US
Telephone Number	:	484-264-5198
Fax Number	:

Authorized Official
Title or Position	:	MANAGING/MEMBER
Name	:	AARON EYOB
Credential	:
Telephone Number	:	484-264-5198

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “SHANNON CARE, LLC ” Practice Location

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