Organization Active NPI

Shelcom Homecare

  • Health Maintenance Organization
  • Atlanta, GA
National Provider Identifier
1275922700
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
RN188191 Issued in GA
Legal business name
SHELCOM HOMECARE
Practice address
880 Stokeswood Ave SE
Atlanta, GA 30316-2649
Phone
(678) 927-1592
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Sheila Buteau, RN
Title
Ceo
Phone
(678) 927-1592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X RN188191 GA Primary

Addresses

Primary practice location

880 Stokeswood Ave SE
Atlanta, GA 30316-2649

Mailing address

880 Stokeswood Ave SE
Atlanta, GA 30316-2649
Phone (678) 927-1592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1275922700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 STOKESWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162649",
            "telephone_number": "678-927-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 STOKESWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162649",
            "telephone_number": "678-927-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELCOM HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "BUTEAU",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-927-1592",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "RN188191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.