National Provider Identifier Database

SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES
Respite Care, Intellectual and/or Developmental Disabilities

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.


Contact Information

SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES
429 SOUTHGATE AVE
IOWA CITY, IA52240
Phone: 319-338-5416
Fax: 319-358-7132
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X
Community/Behavioral Health 251S00000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES

NPI Number 1629316062
Legal business name
LBN
SHELTER HOUSE COMMUNITY SHELTER AND TRANSITION SERVICES
Authorized official ERIN SULLIVAN - (MENTAL HEALTH RECOVERY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/18/2013
Last updated 03/20/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: X000110127
  • IA Medicaid: X000158000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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