Active NPI
Shannon'S Neighborhood Center for Handicapped Citizen'S, Inc
- Custodial Care Facility
- Perryville, MO
National Provider Identifier
1033328455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- SHANNON'S NEIGHBORHOOD CENTER FOR HANDICAPPED CITIZEN'S, INC
- Practice address
- 40 Cora LN
Perryville, MO 63775-8845 - Phone
- (573) 547-5254
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol A Word, CPA
- Title
- Accountant
- Phone
- (573) 547-4475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Primary |
Addresses
Primary practice location
40 Cora LN
Perryville, MO 63775-8845
Mailing address
411 N Main St
Perryville, MO 63775-1317
Other names 1
- Shannon's Neighborhood DBA Cora Lane
National Provider Directory
National Provider Directory- Tax ID family
- Shannon'S Neighborhood
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Perryville, MO
- NPI 1942355193
Locations
40 Cora Ln
Perryville, MO 63775
Phone (573) 547-5254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033328455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N MAIN ST",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637751317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CORA LN",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637758845",
"telephone_number": "573-547-5254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON'S NEIGHBORHOOD CENTER FOR HANDICAPPED CITIZEN'S, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WORD",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ACCOUNTANT",
"authorized_official_telephone_number": "573-547-4475",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shannon's Neighborhood DBA Cora Lane",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Perryville, MO
- Schremp Family Dentistry LLC
- Benjamin Schremp, DDS
- Carrie G Schubert, LPC
- Ethan Seyer, CRNA
- Melissa M Shands, FNP-BC
- Shannon'S Neighborhood Center for Handicapped Citizens, Inc
- Shannon'S Neighborhood Mainstreet Inc.
- Shannon'S Neighborhood Mainstreet Station
- Chase Andrew Silvers, D.O.
- Southeast Missouri Hospital Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.