Organization Active NPI

SJS Ventures, LLC

Doing business as The Retreat at Cedar Creek

  • Clinical Social Worker
  • Edwardsville, KS
National Provider Identifier
1093580532
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SJS VENTURES, LLC
Doing business as
The Retreat at Cedar Creek
Practice address
33 N 98TH St
Edwardsville, KS 66111-1403
Phone
(913) 954-9114
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Sheldon Schelling, LSCSWNPI 1578514055
Title
President
Phone
(913) 954-9114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

33 N 98TH St
Edwardsville, KS 66111-1403

Mailing address

33 N 98TH St
Edwardsville, KS 66111-1403
Phone (913) 954-9114

Other names 1

  • The Retreat at Cedar Creek Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1093580532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N 98TH ST",
            "city": "EDWARDSVILLE",
            "state": "KS",
            "postal_code": "661111403",
            "telephone_number": "913-954-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N 98TH ST",
            "city": "EDWARDSVILLE",
            "state": "KS",
            "postal_code": "661111403",
            "telephone_number": "913-954-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJS VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SCHELLING",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-954-9114",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retreat at Cedar Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwardsville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.