Shannon Industries LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SHANNON INDUSTRIES LLC

Practice address

1028 Grande View Pass
Maylene, AL 35114-4004

Phone

(205) 478-1200

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cedric Shannon

Title

Owner

Phone

(205) 478-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1295100832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 GRANDE VIEW PASS",
            "city": "MAYLENE",
            "state": "AL",
            "postal_code": "351144004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 GRANDE VIEW PASS",
            "city": "MAYLENE",
            "state": "AL",
            "postal_code": "351144004",
            "telephone_number": "205-478-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-478-1200"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Care for Hospice LLC
• Anne Abernathy Maddox, OT
• Terri Yevette Marsden, CRNA
• Ralston Collective Holdings, LLC
• Danielle Marie Ralston
• Taylor Nichole Tidmore, MCD CCC-SLP

• Early Intervention Provider Agency in Maylene, AL
• Providers in Maylene, AL by specialty
• Early Intervention Provider Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.