Shelter House Community Shelter and Transition Services

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES

Doing business as

Shelter House

Practice address

429 Southgate Ave
Iowa City, IA 52240

Phone

(319) 338-5416

Fax

(319) 358-7132

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Erin Sullivan

Title

Mental Health Recovery Manager

Phone

(319) 338-5416

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Shelter House Doing business as

Locations

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1629316062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3146",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522443146",
            "telephone_number": "319-338-5416",
            "fax_number": "319-358-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SOUTHGATE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-338-5416",
            "fax_number": "319-358-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "MENTAL HEALTH RECOVERY MANAGER",
        "authorized_official_telephone_number": "319-338-5416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000110127",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000158000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelter House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathaniel Murat Shekem, PA-C
• Nitesh Shekhrajka, MBBS
• Tyler Alan Shelby, DNP
• Eric James Shelley, M.D.
• Rick A Shelman, MD
• Susan Qi Shen
• Wendy W Shen, MD, PHD
• Jessica Sheng, M.D.
• Jami L Shepard, MD
• Nicholas Shepard, PHARMD

• Child Intellectual and/or Developmental Disabilities Respite Care in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.