Shannon'S Neighborhood Center for Handicapped Citizens, Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

SHANNON'S NEIGHBORHOOD CENTER FOR HANDICAPPED CITIZENS, INC

Practice address

411 N Main St
Perryville, MO 63775-1317

Phone

(573) 547-4475

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Barbra Norton, RN

Title

Administrator

Phone

(573) 547-5254

Specialties & licenses 1

Addresses

Other names 1

• Shannon's Neighborhood Other name

Tax ID family

Shannon'S Neighborhood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shannon'S Neighborhood Center for Handicapped Citizen'S, Inc

  • Custodial Care Facility
  • Perryville, MO
  • NPI 1033328455
  NPD tax ID

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942355193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CORA LN",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637758845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N MAIN ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751317",
            "telephone_number": "573-547-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON'S NEIGHBORHOOD CENTER FOR HANDICAPPED CITIZENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "BARBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-547-5254",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon's Neighborhood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Schremp, DDS
• Carrie G Schubert, LPC
• Ethan Seyer, CRNA
• Melissa M Shands, FNP-BC
• Shannon'S Neighborhood Center for Handicapped Citizen'S, Inc
• Shannon'S Neighborhood Mainstreet Inc.
• Shannon'S Neighborhood Mainstreet Station
• Chase Andrew Silvers, D.O.
• Southeast Missouri Hospital Physicians, LLC
• St. Luke'S Chiropractic Health Center LLC

• Custodial Care Facility in Perryville, MO
• Providers in Perryville, MO by specialty
• Custodial Care Facility in Missouri

• 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.

Verify at the official NPI Registry.