Organization Active NPI

Shahn Place, Inc.

Doing business as Shaun's Place

  • Case Management Agency
  • Dallas, TX
National Provider Identifier
1558525816
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
302879 Issued in TX
Legal business name
SHAHN PLACE, INC.
Doing business as
Shaun's Place
Practice address
2200 E Ledbetter Dr
Dallas, TX 75216-7408
Phone
(214) 376-7050
Fax
(214) 372-1434
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mrs. Pat Odhams Wesley
Title
Director
Phone
(214) 376-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 302879 TX Primary

Addresses

Primary practice location

2200 E Ledbetter Dr
Dallas, TX 75216-7408

Mailing address

2200 E Ledbetter Dr
Dallas, TX 75216-7408
Phone (214) 376-7050

Other names 1

  • SHAUN'S PLACE 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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1558525816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167408",
            "telephone_number": "214-376-7050",
            "fax_number": "214-372-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167408",
            "telephone_number": "214-376-7050",
            "fax_number": "214-372-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHN PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "ODHAMS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-376-7050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "302879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAUN'S PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.