Organization Active NPI

The Children's Shelter

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Antonio, TX
National Provider Identifier
1669694972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
851404 Issued in TX
Legal business name
THE CHILDREN'S SHELTER
Practice address
4040 High Ridge Cir
San Antonio, TX 78229-4143
Phone
(210) 212-2525
NPI assigned
May 3, 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
Mr. Jack Downey
Title
Ceo
Phone
(210) 212-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 851404 TX Primary

Addresses

Primary practice location

4040 High Ridge Cir
San Antonio, TX 78229-4143

Mailing address

2939 W Woodlawn Ave
San Antonio, TX 78228-5015

National Provider Directory

National Provider Directory
Tax ID family
The Childrens Shelter3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4040 High Ridge Cir
San Antonio, TX 78229
Phone (210) 212-2525

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669694972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 W WOODLAWN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HIGH RIDGE CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294143",
            "telephone_number": "210-212-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-212-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TX",
            "license": "851404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

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.