Active NPI
Shirley'S Enrichment House, LLC
- Mental Illness Community Based Residential Treatment Facility
- Troutman, NC
National Provider Identifier
1104742790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- SHIRLEY'S ENRICHMENT HOUSE, LLC
- Practice address
- 169 Tackle Box Dr
Troutman, NC 28166-0140 - Phone
- (704) 291-1454
- NPI assigned
- Jun 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chrystal Guinyard
- Title
- Executive Director
- Phone
- (704) 291-1454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
169 Tackle Box Dr
Troutman, NC 28166-0140
Mailing address
169 Tackle Box Dr
Troutman, NC 28166-0140
Phone (704) 291-1454
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1104742790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 TACKLE BOX DR",
"city": "TROUTMAN",
"state": "NC",
"postal_code": "281660140",
"telephone_number": "704-291-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 TACKLE BOX DR",
"city": "TROUTMAN",
"state": "NC",
"postal_code": "281660140",
"telephone_number": "704-291-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY'S ENRICHMENT HOUSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-26",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "GUINYARD",
"authorized_official_first_name": "CHRYSTAL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-291-1454"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troutman, NC
- Realistic Change by C.H.O.I.C.E. @ Winchester II
- Realistic Change by C.H.O.I.C.E., Inc. @ Valleybrook I
- Realistic Change by C.H.O.I.C.E., Inc. @ Valleybrook II
- Rockwell Development Center Inc
- Shane Sarley, B.S.
- Russell E Smith, RPH
- Robert Earl Steljes, DMD
- Robert Tennyson Stewart, DDS
- Sarah E Sturges, BHT
- Susan T. Swanson, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.