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SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES NPI 1629316062


NPI Information

NPI: 1629316062
Provider Name: SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES

Doing Business As: SHELTER HOUSE

Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
429 SOUTHGATE AVE
IOWA CITY, IA
ZIP 52240
Phone: (319) 338-5416
Get Directions

SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES is a respite care and mental retardation and/or developmental disabilities respite care in Iowa City, IA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES NPI is 1629316062. The provider is registered as an organization entity type.
The provider Is Doing Business As Shelter House.

The provider's business location address is:

429 SOUTHGATE AVE
IOWA CITY, IA
ZIP 52240
Phone: (319) 338-5416
Fax: (319) 358-7132

The provider's authorized official is Erin Sullivan .
The authorized official title is Mental Health Recovery Manager and has the following contact phone number (319) 338-5416.

The enumeration date for this NPI number is 1/18/2013 and was last updated on 3/20/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2253Z00000XIn Home Supportive CareNo
3385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesIOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1X000158000MEDICAIDIOWA
2X000110127MEDICAIDIOWA

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: 11/14/2023

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