Shelby Comfort Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHELBY COMFORT CARE LLC

Practice address

51831 Van Dyke Ave
Shelby Township, MI 48316-4454

Phone

(586) 333-4940

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Boehm

Title

Director

Phone

(248) 930-7875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1033962667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51831 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51831 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164454",
            "telephone_number": "586-333-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-930-7875"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yousif Shamoon
• Marzuq Shamsud-Din
• Bradley Gerald Sharp, M.S., L.L.P.
• Erin Shaughnessy, LMSW
• Allison Shaune
• Shelby Comfort Dentistry
• Shelby Counseling, Inc.
• Shelby Creek Pharmacy LLC (Shelby Creek Pharmacy)
• Shelby Dental Care
• Shelby Eyecare Associates PC

• Assisted Living Facility in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.