Shellsburg Associates

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

311Z00000X Issued in IA

Legal business name

SHELLSBURG ASSOCIATES

Doing business as

Rock Ridge Residential Care Center

Practice address

401 Canton St NW
Shellsburg, IA 52332-9624

Phone

(319) 436-5570

Fax

(319) 436-5571

NPI assigned

Jan 29, 2015

Organization subpart

Yes

Parent organization

SHELLSBURG ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mr. Charles Lawrence Thomas

Title

President of the Board

Phone

(605) 760-1610

Specialties & licenses 1

Addresses

Other names 1

• Rock Ridge Residential Care Center Doing business as

Part of

Shellsburg Associates

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1093105975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CANTON ST NW",
            "city": "SHELLSBURG",
            "state": "IA",
            "postal_code": "523329624",
            "telephone_number": "319-436-5570",
            "fax_number": "319-436-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CANTON ST NW",
            "city": "SHELLSBURG",
            "state": "IA",
            "postal_code": "523329624",
            "telephone_number": "319-436-5570",
            "fax_number": "319-436-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLSBURG ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELLSBURG ASSOCIATES",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT OF THE BOARD",
        "authorized_official_telephone_number": "16057601610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": "311Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Ridge Residential Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Deborah H Ralston, MD
• St Luke'S Jones Regional Medical Center
• Vinton-Shellsburg Community School District

• Custodial Care Facility in Shellsburg, IA
• Providers in Shellsburg, IA by specialty
• Custodial Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.