SHELLBACK ENTERPRISE CORPORATION NPI 1558955328

NPI Information

NPI: 1558955328
Provider Name: SHELLBACK ENTERPRISE CORPORATION
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address: 170 CAMDEN HILL RD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 338-6799

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NPI Details

SHELLBACK ENTERPRISE CORPORATION is a non emergency medical transport van in Lawrenceville, GA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. SHELLBACK ENTERPRISE CORPORATION NPI is 1558955328. The provider is registered as an organization entity type.

The provider's business location address is:

170 CAMDEN HILL RD
LAWRENCEVILLE, GA
ZIP 30046-418
Phone: (770) 338-6799
Fax: (770) 338-6799

The provider's authorized official is James Adair Welch .
The authorized official title is Coo and has the following contact phone number (678) 873-2972.

The enumeration date for this NPI number is 2/23/2021 and was last updated on 2/23/2021.

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	Primary
1	251E00000X	Home Health	No
2	332B00000X	Durable Medical Equipment & Medical Supplies	No
3	343900000X	Non-emergency Medical Transport (VAN)	Yes

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: 3/30/2025

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