Active NPI
Shelby County Senior Citizens Assocation Inc
- Nursing Care Agency
- Shelbina, MO
National Provider Identifier
1881730836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- SHELBY COUNTY SENIOR CITIZENS ASSOCATION INC
- Practice address
- 112 E Chestnut St
Shelbina, MO 63468-1339 - Phone
- (573) 588-4403
- Fax
- (573) 588-1406
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra L Sparks
- Title
- Manager Administrator
- Phone
- (573) 588-4403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
112 E Chestnut St
Shelbina, MO 63468-1339
Mailing address
112 E Chestnut St
Shelbina, MO 63468-1339
Phone (573) 588-4403
National Provider Directory
National Provider Directory- Tax ID family
- Shelby County Senior Citizens Assocation Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Shelbina, MO
- NPI 1700061454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881730836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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 ASSOCATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPARKS",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER ADMINISTRATOR",
"authorized_official_telephone_number": "573-588-4403",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbina, MO
- Kelly M Sadler, PT, DPT
- 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 Association Inc.
- Spectrum Partners L.L.C. (Shelbina Villa Lifecare)
- The Baptist Home (Baptist Homes of Shelbina)
- Laura Ann Tullock, OTR
- Alisa Ann Willingham, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.