NPIMap

Organization Active NPI

Shaffer Plaza C

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Steubenville, OH
National Provider Identifier
1457506602
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SHAFFER PLAZA C
Practice address
256 John Scott Hwy
Steubenville, OH 43952-3001
Phone
(740) 264-7176
Fax
(740) 264-0399
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Mike Mehalik
Title
Superintendent
Phone
(740) 264-7176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

256 John Scott Hwy
Steubenville, OH 43952-3001

Mailing address

256 John Scott Hwy
Steubenville, OH 43952-3001
Phone (740) 264-7176

Other identifiers 1

IdentifierTypeStateIssuer
0680099MedicaidOH

Other names 1

  • Jefferson County Board of MRDD Other name

National Provider Directory

National Provider Directory
Tax ID family
Shaffer Plaza C5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1457506602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 JOHN SCOTT HWY",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439523001",
            "telephone_number": "740-264-7176",
            "fax_number": "740-264-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 JOHN SCOTT HWY",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439523001",
            "telephone_number": "740-264-7176",
            "fax_number": "740-264-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFFER PLAZA C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "MEHALIK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "740-264-7176"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0680099",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Board of MRDD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.