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SHELBY HOUSE LLC NPI 1124456355


NPI Information

NPI: 1124456355
Provider Name: SHELBY HOUSE LLC

Former Legal Business Name: SHELBY HOUSE

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
950 HARDIN DR
SHELBY, NC
ZIP 28150
Phone: (828) 261-7304
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SHELBY HOUSE LLC is an adult care home custodial care facility in Shelby, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. SHELBY HOUSE LLC NPI is 1124456355. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Shelby House.

The provider's business location address is:

950 HARDIN DR
SHELBY, NC
ZIP 28150-500
Phone: (828) 261-7304
Fax: (828) 326-8109

The provider's authorized official is Charles E Trefzger .
The authorized official title is Manager and has the following contact phone number (828) 322-5535.

The enumeration date for this NPI number is 10/25/2013 and was last updated on 10/18/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityHAL023045NORTH CAROLINANo
2343900000XNon-emergency Medical Transport (VAN)No
3311ZA0620XCustodial Care FacilityAdult Care HomeYes

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: 5/5/2024

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