Organization Active NPI

Shults-Lewis Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Valparaiso, IN
National Provider Identifier
1811206493
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
16206793332195 Issued in IN
Legal business name
SHULTS-LEWIS CHILD AND FAMILY SERVICES, INC.
Practice address
325 South 150 East
Valparaiso, IN 46383-7866
Phone
(219) 462-0513
Fax
(219) 464-7828
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Ms. Sheilla Ann Davis, B.S.
Title
Director of Operations
Phone
(219) 462-0513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 16206793332195 IN Primary

Addresses

Primary practice location

325 South 150 East
Valparaiso, IN 46383-7866

Mailing address

P.O. Box 471
Valparaiso, IN 46384-0471
Phone (219) 462-0513

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1811206493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 471",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463840471",
            "telephone_number": "219-462-0513",
            "fax_number": "219-464-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUTH 150 EAST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837866",
            "telephone_number": "219-462-0513",
            "fax_number": "219-464-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULTS-LEWIS CHILD AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHEILLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "219-462-0513",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IN",
            "license": "16206793332195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.