The Shepherds House

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

05-4744 Issued in OH

Legal business name

THE SHEPHERDS HOUSE

Practice address

1231 Albert St
Toledo, OH 43605-3610

Phone

(419) 691-8479

Fax

(419) 698-4203

NPI assigned

Jan 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Peggy Lynn Wagner, C.P.R

Title

Manager

Phone

(419) 691-8479

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073661260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 ALBERT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436053610",
            "telephone_number": "419-691-8479",
            "fax_number": "419-698-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 ALBERT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436053610",
            "telephone_number": "419-691-8479",
            "fax_number": "419-698-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHEPHERDS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-691-8479",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.P.R"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "05-4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.