Paula Lynette Lynch, ADMINISTRATOR

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-023-059 Issued in NC

Practice address

1809 Oakhurst Dr
Shelby, NC 28152-7907

Phone

(704) 406-9609

Fax

(704) 406-9609

NPI assigned

Jan 21, 2025

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nurturing Grace Family Home Care

  • Assisted Living Facility
  • Shelby, NC
  • NPI 1558174292
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1033921820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 OAKHURST DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527907",
            "telephone_number": "704-406-9609",
            "fax_number": "704-406-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 OAKHURST DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527907",
            "telephone_number": "704-406-9609",
            "fax_number": "704-406-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "PAULA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-023-059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Howell Lovelace, MSW, LCSW
• Lovy Family Care Home, Inc.
• James Watkins Lowry, MD
• Kendalyn Lutz-Craver, DDS,PA
• Jessica Erin Lyle
• Leigh Mabry
• Stephanie Lynn Macpherson, LCSWA
• Helen R. Maddux, M.D.
• Mainstreet and Kidsstreet of North Carolina PLLC
• Naree Mal, MD

• Adult Care Home Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.