Shelby Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHELBY MANOR

Practice address

1176 Wyke Rd
Shelby, NC 28150-4273

Phone

(704) 482-0000

Fax

(704) 487-0772

NPI assigned

Jan 18, 2010

Last updated

Jan 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bobbi Jo Dorman

Title

Executive Director

Phone

(704) 482-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1649501453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 WYKE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504273",
            "telephone_number": "704-482-0000",
            "fax_number": "704-487-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 WYKE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504273",
            "telephone_number": "704-482-0000",
            "fax_number": "704-487-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-482-0000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Drugstore, Inc.
• Shelby Eye Centers, P.a.
• Shelby Family Practice
• Shelby House LLC (Cleveland House)
• Shelby Internal Medicine, Inc
• Shelby Manor Group Home
• Shelby Medical Associates PA
• Shelby Medical Associates, P.a.
• Shelby Medical Associates, PA
• Shelby Opco, LLC (Shelby Manor)

• 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 Jan 18, 2010; 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.