Active NPI
McShaw Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lawrence, KS
National Provider Identifier
1669803433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 100415620A
- Legal business name
- MCSHAW INC
- Practice address
- 2904 Crestline Dr
Lawrence, KS 66047-3065 - Phone
- (785) 550-2733
- NPI assigned
- Dec 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Usman I Hong
- Title
- Owner
- Phone
- (785) 550-2733
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 100415620A | KS | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 100415620A | KS | Primary |
Addresses
Primary practice location
2904 Crestline Dr
Lawrence, KS 66047-3065
Mailing address
2904 Crestline Dr
Lawrence, KS 66047-3065
Phone (785) 550-2733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100415620A | Medicaid | KS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1669803433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 CRESTLINE DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660473065",
"telephone_number": "785-550-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 CRESTLINE DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660473065",
"telephone_number": "785-550-2733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCSHAW INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "HONG",
"authorized_official_first_name": "USMAN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "785-550-2733"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "KS",
"license": "100415620A",
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "KS",
"license": "100415620A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100415620A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.