Organization Active NPI

Shelter Community Services Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dallas, TX
National Provider Identifier
1821563313
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SHELTER COMMUNITY SERVICES INC
Practice address
8111 LBJ Fwy Ste 1225
Dallas, TX 75251-1309
Phone
(469) 432-7634
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Mrs. Mini Prince
Title
President
Phone
(469) 432-7634

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Foster Care Agency 253J00000X
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Respite Care 385H00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

8111 LBJ Fwy Ste 1225
Dallas, TX 75251-1309

Mailing address

8111 LBJ Fwy Ste 1225
Dallas, TX 75251-1309
Phone (469) 432-7634

National Provider Directory

National Provider Directory

Locations

8111 LBJ
Ste 1225
Dallas, TX 75251
Phone (214) 342-1119

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1821563313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511309",
            "telephone_number": "469-432-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511309",
            "telephone_number": "469-432-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-432-7634",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.