Brynn T Shelton

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA1405161 Issued in IN

Practice address

4138 Ruthledge St
Gary, IN 46408

Phone

(219) 888-9331

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Open Arms Home Care LLC

  • In Home Supportive Care Agency
  • Gary, IN
  • NPI 1518796358
  NPD Authorized official

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497275788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 RUTLEDGE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082369",
            "telephone_number": "219-300-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 RUTHLEDGE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "219-888-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BRYNN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "HHA1405161",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "CNA1100205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Sedlacek, PA
• Serenity Scope Home Care LLC
• Alissa Serrano
• Sharon L Chambers Ins Agy Inc
• Gabrielle M Shaw, PBT,
• Charles Shelton
• Aireus L Sherrod
• Kelsey Shireman
• Alexandra Maria Shloss, MA
• Roosevelt Shuler Jr., COACH

• Home Health Aide in Gary, IN
• Providers in Gary, IN by specialty
• Home Health Aide in Indiana

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

Verify at the official NPI Registry.