Organization Active NPI

Shoulders, LLC

  • Home Health Agency
  • Pontiac, MI
National Provider Identifier
1629586276
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHOULDERS, LLC
Practice address
487 N Perry St
Pontiac, MI 48342-2451
Phone
(248) 843-1536
Fax
(248) 977-3173
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Sherina Nelson
Title
Ceo/Owner
Phone
(248) 843-1536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

487 N Perry St
Pontiac, MI 48342-2451

Mailing address

487 N Perry St
Pontiac, MI 48342-2451

National Provider Directory

National Provider Directory

Locations

487 N Perry St
Pontiac, MI 48342
Phone (248) 843-1536

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1629586276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422451",
            "telephone_number": "248-843-1536",
            "fax_number": "248-977-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOULDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SHERINA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "248-843-1536"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.