Shelter at Home Care LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SHELTER AT HOME CARE LLC

Practice address

217 Arrowhead Blvd
Jonesboro, GA 30236-1169

Phone

(478) 447-1971

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Cassandra IngramNPI 1477211449

Title

Owner

Phone

(478) 447-1971

Specialties & licenses 2

Addresses

Other names 1

• Shelter At Home Care LLC Doing business as

Electronic endpoints 1

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

CLIA laboratory certificates

Tax ID family

Shelter at Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shelter at Home Care LLC

  • In Home Supportive Care Agency
  • Jonesboro, GA
  • NPI 1417657552
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Ingram

  • Community Health Worker
  • Jonesboro, GA
  • NPI 1477211449
  NPD Authorized official

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641686400000",
    "number": "1730840182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BELLS LANDING WAY",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732242",
            "telephone_number": "478-447-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "478-447-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER AT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-447-1971",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@shelterathome.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "217 Arrowhead Blvd",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302361169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shelter At Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelter At Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simone Keinia Sharp-Bucknor, RN
• Tarhonda Sharp, APRN
• Kelly J. Shea-Miller, PH. D.
• Russell Farr Shearer Jr., PH.D.
• Shelter at Home Care LLC
• Shereka Shaw, LPC
• Sherman Support and Solutions, LLC
• Sangmin Ryan Shin, M.D.
• Shivashanker PC
• Shontella'S Caring Hearts LLC

• Clinical Medical Laboratory in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; 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.