Organization Active NPI

Shannon'S Neighborhood Center for Handicapped Citizen'S, Inc

  • Custodial Care Facility
  • Perryville, MO
National Provider Identifier
1033328455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shannon'S Neighborhood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.