Active NPI
Shoulders, LLC
- Home Health Agency
- Pontiac, MI
National Provider Identifier
1629586276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.