Shelter at Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SHELTER AT HOME CARE LLC

Doing business as

Shelter At Home Care LLC

Practice address

409 Arrowhead Blvd Ste A138
Jonesboro, GA 30236-1260

Phone

(478) 447-1971

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Cassandra IngramNPI 1477211449

Title

Ceo

Phone

(478) 447-1971

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelter At Home Care LLC Doing business as

Tax ID family

Shelter at Home Care LLC2 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.

• Shelter at Home Care LLC

  • Clinical Medical Laboratory
  • Jonesboro, GA
  • NPI 1730840182
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Ingram

  • Community Health Worker
  • Jonesboro, GA
  • NPI 1477211449
  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1417657552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BELLS LANDING WAY",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732242",
            "telephone_number": "478-447-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD STE A138",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361260",
            "telephone_number": "478-447-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER AT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-447-1971"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCP",
            "identifier": "PHCP011252",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelter At Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yachika Sharma, M.P.T
• Simone Keinia Sharp-Bucknor, RN
• Tarhonda Sharp, APRN
• Kelly J. Shea-Miller, PH. D.
• Russell Farr Shearer Jr., PH.D.
• Shelter at Home Care LLC
• Shereka Shaw, LPC
• Sherman Support and Solutions, LLC
• Sangmin Ryan Shin, M.D.
• Shivashanker PC

• In Home Supportive Care Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.