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SHANAHAN GROUP HOME NPI 1922152040


NPI Information

NPI: 1922152040
Provider Name: SHANAHAN GROUP HOME
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
2204 GAMBRELL ST
GREENWOOD, MO
ZIP 64034
Phone: (816) 537-7638
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SHANAHAN GROUP HOME is a residential treatment facility, intellectual and/or developmental disabilities in Greenwood, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SHANAHAN GROUP HOME NPI is 1922152040. The provider is registered as an organization entity type.

The provider's business location address is:

2204 GAMBRELL ST
GREENWOOD, MO
ZIP 64034-618
Phone: (816) 537-7638
Fax: (816) 537-7941

The provider's authorized official is Debra Louise Shanahan .
The authorized official title is Provider and has the following contact phone number (816) 537-7638.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities3206000000XMISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.