Organization Active NPI

Sheltering Arms Home Healthcare, LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1124022629
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
EXEMPT Issued in VA
Legal business name
SHELTERING ARMS HOME HEALTHCARE, LLC
Practice address
2459 Wilkinson Blvd Ste 120
Charlotte, NC 28208-5669
Phone
(704) 731-2403
Fax
(704) 731-2403
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Todd D Wiebusch
Title
President / Ceo
Phone
(704) 831-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X EXEMPT VA Primary

Addresses

Primary practice location

2459 Wilkinson Blvd Ste 120
Charlotte, NC 28208-5669

Mailing address

2459 Wilkinson Blvd Ste 120
Charlotte, NC 28208-5669
Phone (704) 731-2403

Other identifiers 1

IdentifierTypeStateIssuer
1124022629MedicaidVA

National Provider Directory

National Provider Directory

Locations

2459 Wilkinson Blvd
Ste 120
Charlotte, NC 28208
Phone (704) 731-2403

620 Moorefield Park Dr
Ste 100
North Chesterfield, VA 23236
Phone (804) 249-4611

2805 W Broad St
Richmond, VA 23230
Phone (804) 249-4611

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1124022629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 WILKINSON BLVD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085669",
            "telephone_number": "704-731-2403",
            "fax_number": "704-749-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 WILKINSON BLVD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085669",
            "telephone_number": "704-731-2403",
            "fax_number": "704-731-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERING ARMS HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "WIEBUSCH",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "704-831-5050"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124022629",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.