SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES (NPI# 1629316062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629316062 |
| Entity Type | Organization |
| Organization Name | SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES |
| Other Organization Name | SHELTER HOUSE |
| Practice Address |
429 Southgate Ave Iowa City IA 52240 |
| Mailing Address |
Po Box 3146 Iowa City IA 52244-3146 |
| Practice Telephone | 3193385416 |
| Practice Fax Number | 3193587132 |
| Mailing Telephone | 3193385416 |
| Mailing Fax Number | 3193587132 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | MS. ERIN SULLIVAN (MENTAL HEALTH RECOVERY MANAGER) |
| Authorized Official Telephone | 3193385416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
IA | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | X000158000 | 05 | |
| IA | X000110127 | 05 |
| Other Name | Type Code |
|---|---|
| Shelter House | Doing Business As Name - Organization |
| Street Address |
429 SOUTHGATE AVE |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1649590506 | Linda Kay Rames | Pediatrics | 842 Rundell Street, Iowa City, IA 52240 | 2010-06-02 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104022953 | Great River Child Care Inc. | Respite Care | 639 S Central Ave, Burlington, IA 52601-3946 | 2007-06-26 |
| 1932475142 | Tipton Adaptive Daycare LLC | Respite Care | 118 Parkview Ct, Tipton, IA 52772-1349 | 2012-04-02 |
| 1487786281 | Woodward Resource Center | Respite Care | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-09 |
Please comment or provide details below to improve the information on SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES.
| 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.