Nellies Family Care Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL 023-015 Issued in NC

Legal business name

NELLIES FAMILY CARE HOME INC

Practice address

1608 Fallston Road
Shelby, NC 28150-4619

Phone

(704) 482-0340

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Nell Hernandez

Title

President

Phone

(704) 480-1332

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1497874002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 FALLSTON RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503365",
            "telephone_number": "704-482-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 FALLSTON ROAD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504619",
            "telephone_number": "704-482-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIES FAMILY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-480-1332"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL 023-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804625",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804624",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Stodart Navarro, M.A., LPA, LPC
• Ashley Triplett Navey, PMHNP-BC
• NC DHHS Child and Family Well-Being
• Ncal-Acquisition 1, Inc.
• Neal Patel DMD, PLLC
• Nephrology Associates of the Carolinas, P.a.
• Alana Goldberg Nethercutt, PA
• New Bridge Life Services, LLC
• New Directions Behavioral Health Services,LLC
• New Genesis Residential Services, Inc.

• 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 Aug 21, 2012; 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.