Organization · Type 2 NPI

Shelby House LLC

Adult Care Home Facility · Shelby, NC

NPI number 1124456355 Active

Practice location

950 Hardin Dr
Shelby, NC 28150-3500

Call (828) 261-7304 Map

Fax (828) 326-8109

Mailing address

PO Box 2568
Hickory, NC 28603-2568

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	HAL023045 (NC)
Adult Care Home Facility Primary	311ZA0620X	None listed
Non-emergency Medical Transport (VAN)	343900000X	None listed

Adult Care Home Facility: 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.

3 other providers at this address

Other adult care home facility providers in Shelby

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NPI record

NPI: 1124456355
Entity type: Organization (Type 2)
Issued: Oct 25, 2013
Last updated: Oct 18, 2021
Status: Active

Other names

<unavail>
Cleveland House · doing business as
Shelby House · former legal business name
Shelby House · former legal business name

Authorized official

Mr. Charles E Trefzger
Manager
(828) 322-5535

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124456355

Shelby House LLC's National Provider Identifier is 1124456355, issued on Oct 25, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Shelby, NC. The record was last updated on Oct 18, 2021.