Gift of Life of Shelby LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GIFT OF LIFE OF SHELBY LLC

Practice address

1006 Fallston Rd
Shelby, NC 28150-3512

Phone

(704) 482-0861

NPI assigned

Jun 5, 2007

Last updated

Jul 3, 2023By 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

Mrs. Jacqueline B Hoey

Title

Administrator

Phone

(704) 482-0861

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1720280324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 FALLSTON RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503512",
            "telephone_number": "704-482-0861",
            "fax_number": "704-482-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 FALLSTON RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503512",
            "telephone_number": "704-482-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFT OF LIFE OF SHELBY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "HOEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-482-0861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gelabert, MA
• Genoa Healthcare LLC
• Anna L. George-Trietley, LPC
• Cassia Gerolimatos, CCC-SLP
• Carla Annette Gibson-Detering, FNP
• Ariel Bumgardner Glover, FNP
• Bonnie Alyse Gold, OT
• Benjamin Goldman, M.D.
• Melissa Ann Goldstein, PA
• Kimberly Tweedy Goodman, NP

• 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 Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.