NPIMap

Organization Active NPI

Shannon'S Neighborhood Mainstreet Inc.

  • Developmentally Disabled Services Day Training Agency
  • Perryville, MO
National Provider Identifier
1669591392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
665 Issued in MO
Legal business name
SHANNON'S NEIGHBORHOOD MAINSTREET INC.
Doing business as
MainStreet Station
Practice address
35 Shannon Lane
Perryville, MO 63775
Phone
(573) 547-4226
Fax
(573) 547-4226
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Vicki S Zahner
Title
Administrator
Phone
(573) 547-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 665 MO Primary

Addresses

Primary practice location

35 Shannon Lane
Perryville, MO 63775

Mailing address

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

Other names 1

  • MainStreet Station Doing business as

National Provider Directory

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

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669591392",
    "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 LANE",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "63775",
            "telephone_number": "573-547-4226",
            "fax_number": "573-547-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON'S NEIGHBORHOOD MAINSTREET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAHNER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-547-4226",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MO",
            "license": "665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MainStreet Station",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.