Active NPI
Sharda Johnson
- Homemaker
- Shelby, MS
National Provider Identifier
1265945828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 1001 Broadway
Shelby, MS 38774 - Phone
- (662) 775-5008
- NPI assigned
- Nov 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | |||
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
1001 Broadway
Shelby, MS 38774
Mailing address
PO Box 1026
Shelby, MS 38774-1026
Phone (662) 402-6452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart to Heart Personal Care Home | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility (Mental Illness)
- Shelby, MS
- NPI 1003531526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1265945828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "SHELBY",
"state": "MS",
"postal_code": "387741026",
"telephone_number": "662-402-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BROADWAY",
"city": "SHELBY",
"state": "MS",
"postal_code": "38774",
"telephone_number": "662-775-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHARDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, MS
- Dorothy Grady-Scarbrough
- Heart to Heart Personal Care Home
- Louise H. Hemingway, MCD, CCC-SLP
- HL Campbell Rural Health Clinic
- It'S a Blessing Adult Day Care Inc
- Making Moves in the Community, Incorporated
- Mercy Hospice and Palliative Care, Incorporated
- Ms Shelby, LLC
- Pensacola Health Trust Inc
- Quitman Community Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.