Organization Active NPI

McShaw Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lawrence, KS
National Provider Identifier
1669803433
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
100415620A Issued in KS
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

Updated by the provider on Dec 4, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100415620AMedicaidKS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.