SHANNON MICHELLE ROPER CDCA
NPI 1316648686
Substance Abuse Rehabilitation Facility in Warren, OH
- Individual
- Female
- Substance Abuse Rehabilitation Facility
About SHANNON ROPER
This page provides the complete NPI Profile along with additional information for Shannon Roper, a provider established in Warren, Ohio with a medical specialization in Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1316648686 assigned on March 2023. The practitioner's primary taxonomy code is 324500000X with license number 183643 (OH). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1316648686 Verify this NPI
- Provider Name
- SHANNON MICHELLE ROPER CDCA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2737 YOUNGSTOWN RD SE WARREN, OH 44484
- Location Phone
- (330) 369-8022
- Mailing Address
- 1058 PERKINS JONES RD NE APT A10 WARREN, OH 44483
- Mailing Phone
- (440) 998-0722
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-14-2023
- Last Update Date
- 08-17-2023
- Code Navigator
Location Map
Secondary Locations
- 2801 C Ct
Ashtabula, OH 44004
(409) 980-7224
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 183643
- License State
- OH
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 175T00000X | Other Service Providers | Peer Specialist | 003893 (OH) |
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
WARREN, OH 44484
WARREN, OH 44484
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316648686, enumerated as an "individual" on March 14, 2023.
The provider is located at 2737 YOUNGSTOWN RD SE WARREN, OH 44484 and the phone number is (330) 369-8022.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.