Organization Active NPI

Shepherd'S Home Care

  • Home Health Agency
  • Salisbury, NC
National Provider Identifier
1730489360
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4200 Issued in NC
Legal business name
SHEPHERD'S HOME CARE
Practice address
1953 W Jake Alexander Blvd
2
Salisbury, NC 28147
Phone
(704) 680-4321
Fax
(704) 680-4321
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Mr. Clary L Phelps Jr., DMIN
Title
Ceo
Phone
(704) 267-3414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4200 NC Primary

Addresses

Primary practice location

1953 W Jake Alexander Blvd
2
Salisbury, NC 28147

Mailing address

1953 Jake Alexander Blvd W
D
Salisbury, NC 28147-1166
Phone (704) 680-4321

National Provider Directory

National Provider Directory

Locations

1953 Jake Alexander Blvd W
#2
Salisbury, NC 28147
Phone (704) 680-4321

1953 Jake Alexander Blvd W
Ste D
Salisbury, NC 28147

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1730489360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 JAKE ALEXANDER BLVD W",
            "address_2": "D",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471166",
            "telephone_number": "704-680-4321",
            "fax_number": "704-680-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 W JAKE ALEXANDER BLVD",
            "address_2": "2",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "28147",
            "telephone_number": "704-680-4321",
            "fax_number": "704-680-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD'S HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CLARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-267-3414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.