SHINN RESIDENTIAL CENTER, INC. (NPI# 1619012606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619012606 |
| Entity Type | Organization |
| Organization Name | SHINN RESIDENTIAL CENTER, INC. |
| Practice Address |
8oo Paris Ave Shinn Residential Center II Hannibal MO 63401 |
| Mailing Address |
817 Paris Ave Hannibal MO 63401-3223 |
| Practice Telephone | 5732212796 |
| Practice Fax Number | 5732481091 |
| Mailing Telephone | 5734061523 |
| Mailing Fax Number | 5732481091 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY SHINN (PRESIDENT) |
| Authorized Official Telephone | 5734061523 |
| 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 | 2462-8462 | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851436828 | Shinn Residential Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Paris Ave, Shinn Residential Center IIi, Hannibal, MO 63401-3223 | 2007-02-20 |
| 1851435010 | Shinn Residential Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 519 N 7th St, Shinn Residential Center I, Hannibal, MO 63401-3339 | 2007-02-19 |
| Street Address |
8OO PARIS AVE SHINN RESIDENTIAL CENTER II |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| 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 |
|---|---|---|---|---|
| 1487890786 | Jackson Group Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Ridgewood Dr, Hannibal, MO 63401-3056 | 2008-12-17 |
| 1083821987 | Wheeler Family Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4231 Deer Run Dr, Hannibal, MO 63401-6246 | 2007-05-17 |
| 1760607766 | Williams Mark Twain Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 511 Birch St, Hannibal, MO 63401-5001 | 2007-04-16 |
| 1851436828 | Shinn Residential Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Paris Ave, Shinn Residential Center IIi, Hannibal, MO 63401-3223 | 2007-02-20 |
| 1851435010 | Shinn Residential Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 519 N 7th St, Shinn Residential Center I, Hannibal, MO 63401-3339 | 2007-02-19 |
| 1841348612 | Lena Mcclain Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48955 Huntington Ln, Hannibal, MO 63401-7326 | 2007-01-08 |
| 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.