Organization Active NPI

Shannon a. Adams

  • Physical Disabilities Residential Treatment Facility
  • Toledo, OH
National Provider Identifier
1932453586
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
SHANNON A. ADAMS
Practice address
1829 Fredonia Ave
Toledo, OH 43608-1626
Phone
(614) 206-4415
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Shannon Ann Adams, CRMA
Title
Owner
Phone
(614) 206-4415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

1829 Fredonia Ave
Toledo, OH 43608-1626

Mailing address

1829 Fredonia Ave
Toledo, OH 43608-1626
Phone (614) 206-4415

National Provider Directory

National Provider Directory

Locations

1829 Fredonia Ave
Toledo, OH 43608
Phone (614) 206-4415

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1932453586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 FREDONIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081626",
            "telephone_number": "614-206-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 FREDONIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081626",
            "telephone_number": "614-206-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON A. ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-206-4415",
        "authorized_official_credential": "CRMA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.