Shamrock Services Group

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SHAMROCK SERVICES GROUP

Practice address

13023 N Shiloh Dr
Mount Vernon, IL 62864-7391

Phone

(618) 244-7701

Fax

(618) 244-7704

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Lallia Shanks

Title

President

Phone

(618) 927-0290

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Karaffa, APN

  • Clinical Nurse Specialist
  • Centralia, IL
  • NPI 1356629612
  NPD (past)

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1811659550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640017",
            "telephone_number": "618-927-0290",
            "fax_number": "618-244-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 N SHILOH DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647391",
            "telephone_number": "618-244-7701",
            "fax_number": "618-244-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK SERVICES GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "LALLIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-927-0290"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki A Seeburger, RN MSN ONPC
• Select Physical Therapy Holdings, Inc. (NovaCare Rehabilitation)
• Hammad Shafqat, MD
• Adit Shah, MD
• Youssef Jamal Shammaa, M.D.
• Shamrock Services, LLC
• Fadi Michel Shamsham, M.D.
• Amanda Barton Shelton, CNM
• Annette V Shores, M.D.
• Kellie Nicole Sigrist, MHP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.