Organization Active NPI

Joyful Living Dda Home, Inc.

  • Community/Behavioral Health Agency
  • Shelby, NC
National Provider Identifier
1790875730
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOYFUL LIVING DDA HOME, INC.
Practice address
111 Morton St
115 Morton Street
Shelby, NC 28152-6621
Phone
(704) 481-9263
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Josephine Griffin, RN,BSN
Title
Clinical Director
Phone
(704) 481-9263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

111 Morton St
115 Morton Street
Shelby, NC 28152-6621

Mailing address

PO Box 13
Shelby, NC 28151-0013
Phone (704) 481-9263

Other identifiers 1

IdentifierTypeStateIssuer
8300515BMedicaidNC

Other names 1

  • Joyful Living Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Joyful Living2 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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790875730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281510013",
            "telephone_number": "704-481-9263",
            "fax_number": "704-481-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MORTON ST",
            "address_2": "115 MORTON STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526621",
            "telephone_number": "704-481-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL LIVING DDA HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-481-9263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300515B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joyful Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.