Ec Opco Shelby LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EC OPCO SHELBY LP

Doing business as

TerraBella Shelby

Practice address

1550 Charles Road
Shelby, NC 28152

Phone

(704) 471-2828

Fax

(704) 487-5084

NPI assigned

Nov 19, 2019

Last updated

Dec 4, 2023By 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

Mrs. Jacqueline Sibley-Newton

Title

Executive Director

Phone

(704) 471-2828

Specialties & licenses 3

Addresses

Other names 1

• TerraBella Shelby Doing business as

Tax ID family

Ec Opco Shelby LP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glenwood Place LLC

  • Assisted Living Facility
  • Marshalltown, IA
  • NPI 1952563009
  NPD tax ID

Locations

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1134765720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CHARLES ROAD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "704-471-2828",
            "fax_number": "704-487-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 CHARLES ROAD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "704-471-2828",
            "fax_number": "704-487-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC OPCO SHELBY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "SIBLEY-NEWTON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-471-2828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TerraBella Shelby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.