Shelbina Village Estates, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHELBINA VILLAGE ESTATES, INC

Practice address

218 E Shelbina Ave
Shelbina, MO 63468-4328

Phone

(573) 588-4115

Fax

(573) 588-4115

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Ann L Amos, REGISTER NURSE

Title

LLC Member

Phone

(636) 358-3593

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1619837796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SUNBROOK CT",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633794889",
            "telephone_number": "636-358-3593",
            "fax_number": "636-462-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E SHELBINA AVE",
            "city": "SHELBINA",
            "state": "MO",
            "postal_code": "634684328",
            "telephone_number": "573-588-4115",
            "fax_number": "573-588-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBINA VILLAGE ESTATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "636-358-3593",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara B Russell, DDS
• Wesley A Russell II, DDS
• Kelly M Sadler, PT, DPT
• Salt River Nursing Home District (Salt River Community Care)
• Shelbina Pharmacy L L C
• Shelby County R-IV Schools
• Shelby County Senior Citizens Assocation Inc
• Shelby County Senior Citizens Association Inc.
• Spectrum Partners L.L.C. (Shelbina Villa Lifecare)
• The Baptist Home (Baptist Homes of Shelbina)

• Assisted Living Facility in Shelbina, MO
• Providers in Shelbina, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.