Shelby County Senior Citizens Association Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

0000457 Issued in MO

Legal business name

SHELBY COUNTY SENIOR CITIZENS ASSOCIATION INC.

Practice address

112 E Chestnut St
Shelbina, MO 63468-1339

Phone

(573) 588-4403

Fax

(573) 588-1406

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Lea Sparks

Title

Administrator/Manager

Phone

(573) 588-4403

Specialties & licenses 1

Addresses

Tax ID family

Shelby County Senior Citizens Assocation 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.

• Shelby County Senior Citizens Assocation Inc

  • Nursing Care Agency
  • Shelbina, MO
  • NPI 1881730836
  NPD tax ID

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1700061454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EAST CHESTNUT",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634681339",
            "telephone_number": "573-588-4403",
            "fax_number": "573-588-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E CHESTNUT ST",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634681339",
            "telephone_number": "573-588-4403",
            "fax_number": "573-588-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY SENIOR CITIZENS ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "573-588-4403",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "0000457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salt River Nursing Home District (Salt River Community Care)
• Shelbina Pharmacy L L C
• Shelbina Village Estates, Inc
• Shelby County R-IV Schools
• Shelby County Senior Citizens Assocation Inc
• Spectrum Partners L.L.C. (Shelbina Villa Lifecare)
• The Baptist Home (Baptist Homes of Shelbina)
• Laura Ann Tullock, OTR
• Alisa Ann Willingham, OTR

• Nursing Care Agency in Shelbina, MO
• Providers in Shelbina, MO by specialty
• Nursing Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.