NPIMap

Organization Active NPI

Shannon'S Neighborhood Mainstreet Station

  • Adult Day Care Clinic/Center
  • Perryville, MO
National Provider Identifier
1467645119
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SHANNON'S NEIGHBORHOOD MAINSTREET STATION
Practice address
35 Shannon LN
Perryville, MO 63775-8169
Phone
(573) 547-4226
Fax
(573) 547-4226
NPI assigned
Aug 24, 2007
Organization subpart
Yes
Parent organization
SHANNONS NEIGHBORHOOD MAIN STREET STATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Ms. Vicki Sue Zahner, ADULT DAY HEALTH CAR
Title
Director
Phone
(573) 768-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

35 Shannon LN
Perryville, MO 63775-8169

Mailing address

10 Shannon LN
Perryville, MO 63775-8169
Phone (573) 547-4226

National Provider Directory

National Provider Directory
Tax ID family
Shannon'S Neighborhood Mainstreet Inc2 organizations share this tax ID, including this one
Part of
Shannon'S Neighborhood Mainstreet Inc

Other organizations with this tax ID 1

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": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1467645119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHANNON LN",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637758169",
            "telephone_number": "573-547-4226",
            "fax_number": "573-547-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SHANNON LN",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637758169",
            "telephone_number": "573-547-4226",
            "fax_number": "573-547-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON'S NEIGHBORHOOD MAINSTREET STATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANNONS NEIGHBORHOOD MAIN STREET STATION",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "ZAHNER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-768-5339",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADULT DAY HEALTH CAR"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.