Shanahan Group Home in Greenwood - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Shanahan Group Home - NPI 1922152040
Shanahan Group Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Greenwood, Missouri. Shanahan Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Shanahan Group Home is 1922152040. The last update date is 2020-08-22.
Shanahan Group Home's current location address is 2204 Gambrell St, Greenwood, Missouri. You can contact this provider via phone number 8165377638. The mailing address for Shanahan Group Home is 2204 Gambrell St, Greenwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shanahan Group Home |
|---|---|
| Address | 2204 Gambrell St, Greenwood, Missouri |
| Phone Number | 8165377638 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Shanahan Louise Debra |
| Telephone Number | 8165377638 |
NPI Number Detail
| NPI Number | 1922152040 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2204 Gambrell St |
|---|---|
| City | Greenwood |
| State | Missouri (MO) |
| Post Code | 640349618 |
| Phone Number | 8165377638 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 3206000000X |
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Definition: 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. |
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Post Comment/ Review Below
What is the Shanahan Group Home's unique identification number?
The Shanahan Group Home has been assigned the NPI (National Provider Identifier) Number 1922152040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shanahan Group Home is physically located?
The Shanahan Group Home is situated at the following address: 2204 Gambrell St, Greenwood, MO 640349618.
What is the Shanahan Group Home's specialty and taxonomy code?
The Shanahan Group Home's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922152040 to Shanahan Group Home?
The Centers for Medicare & Medicaid Services assigned the 1922152040 to Shanahan Group Home on 2007-01-23.
When was the information pertaining to Shanahan Group Home most recently updated or revised?
The details related to Shanahan Group Home, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.