SHINN RESIDENTIAL CENTER, INC. – NPI #1619012606
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

SHINN RESIDENTIAL CENTER, INC. is a residential treatment facility located in HANNIBAL, MO. NPPES has assigned the NPI number 1619012606 to SHINN RESIDENTIAL CENTER, INC. on February 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHINN RESIDENTIAL CENTER, INC. below.

NPI Profile for
SHINN RESIDENTIAL CENTER, INC.

NPI Number
1619012606
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHINN RESIDENTIAL CENTER, INC.
Primary location
8OO PARIS AVE
SHINN RESIDENTIAL CENTER II
HANNIBAL, MO 63401
Phone: (573) 221-2796 Fax: (573) 248-1091
Mailing address
817 PARIS AVE
HANNIBAL, MO 63401-3223
Phone: (573) 406-1523 Fax: (573) 248-1091
Organization Subpart
No
Authorized Official
GARY SHINN
PRESIDENT
Phone: (573) 406-1523
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
MO 2462-8462

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.