Shelby House LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SHELBY HOUSE LLC

Doing business as

Cleveland House

Practice address

950 Hardin Dr
Shelby, NC 28150-3500

Phone

(828) 261-7304

Fax

(828) 326-8109

NPI assigned

Oct 25, 2013

Last updated

Oct 18, 2021By 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

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 3

Addresses

Other names 2

• Cleveland House Doing business as
• Shelby House Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1124456355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-261-7304",
            "fax_number": "828-326-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HARDIN DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503500",
            "telephone_number": "828-261-7304",
            "fax_number": "828-326-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL023045",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby House",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Shelby House",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shelby Chiropractic PLLC (Reno Chiropractic Center)
• Shelby Drugstore, Inc.
• Shelby Drugstore, Inc.
• Shelby Eye Centers, P.a.
• Shelby Family Practice
• Shelby Internal Medicine, Inc
• Shelby Manor
• Shelby Manor Group Home
• Shelby Medical Associates PA
• Shelby Medical Associates, P.a.

• 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 Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.