# SHUNGO CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679161442
- **Authorized official:** MISS AYANNA D WASHINGTON ADVANCED PRACTICE RN (DIRECTOR)
- **Authorized official phone:** (219) 515-6182

## Contact information

- **Practice address:** 16 E US HIGHWAY 30, SCHERERVILLE, IN 46375-2105
- **Practice address phone:** (219) 515-6182
- **Mailing address:** 273 MILBURN AVE, CRETE, IL 60417-2312
- **Mailing address phone:** (219) 515-6182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/06/2021
- **Last updated:** 07/14/2026
