SHANAHAN ISL (NPI# 1518089226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518089226 |
| Entity Type | Organization |
| Organization Name | SHANAHAN ISL |
| Practice Address |
2204 Gambrell St Greenwood MO 64034-9618 |
| Practice Telephone | 8165377638 |
| Practice Fax Number | 8165377941 |
| Mailing Telephone | 8165377638 |
| Mailing Fax Number | 8165377941 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBRA LOUIS SHANAHAN (PROVIDER) |
| Authorized Official Telephone | 8165377638 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2204 GAMBRELL ST |
| City | GREENWOOD |
| State | MO |
| Zip Code | 64034-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922152040 | Shanahan Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 Gambrell St, Greenwood, MO 64034-9618 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740744515 | Danielle Renee Allison | Student in an Organized Health Care Education/Training Program | 1014 Peggy Dr., Greenwood, MO 64034 | 2019-01-25 |
| 1306312723 | Jillian Moore | Dietitian, Registered | 25617 S Harris Rd, Greenwood, MO 64034-8247 | 2018-10-24 |
| 1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
| 1821605643 | Melissa Janea Nyquist | Counselor | 1405 Cypress Dr, Greenwood, MO 64034-8626 | 2020-09-25 |
| 1770754871 | Angels Home Direct Care | Day Training, Developmentally Disabled Services | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2008-03-17 |
| 1528313947 | Wilfred Wallang Ebua | Psychologist | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2012-07-23 |
| 1356627160 | Clarisse Ekei Ebua | Physical Therapy Assistant | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2011-10-25 |
| 1770769556 | Lindsey Ky Mathews-willbanks | Audiologist | 30311 E Stringtown Rd, Greenwood, MO 64034-8699 | 2008-01-11 |
| 1174783328 | Gina Clouse | Speech-Language Pathologist | 1603 Kimberly Ct, Greenwood, MO 64034-8700 | 2008-06-11 |
| 1497219398 | Kelly Godbey | Student in an Organized Health Care Education/Training Program | 1303 Willow Dr, Greenwood, MO 64034-9110 | 2019-01-24 |
| Find all providers in zip 64034 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922152040 | Shanahan Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 Gambrell St, Greenwood, MO 64034-9618 | 2007-01-23 |
| 1164510301 | Occazio, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 568 Yorktown Rd, Greenwood, IN 46142-1974 | 2006-10-11 |
| 1023367455 | Lucy B Hodges Rn Fpnp Pllc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1303 River Rd, Greenwood, MS 38930-4029 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
| 1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1922526417 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.