Shelton Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHELTON MANOR INC

Practice address

9700 Pensacola Blvd
Pensacola, FL 32534-1242

Phone

(850) 741-3540

Fax

(850) 857-8079

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Maranda Dean Shelton

Title

Administrator

Phone

(850) 982-3745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1821617333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 PENSACOLA BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341242",
            "telephone_number": "850-741-3540",
            "fax_number": "850-857-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 PENSACOLA BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341242",
            "telephone_number": "850-741-3540",
            "fax_number": "850-857-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MARANDA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-982-3745"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie S Sheffield, M.S.
• George Edward Shehee Jr., DMD, MS
• Karen L Shell, LMHC
• Kennedy Corrine Shellenberger
• Jacob Edward Shelley, ARNP
• Kelly J. Shelton, LCSW
• Maranda Shelton, SLP
• Ragenia Lee Shelton, RPH
• Ryan Shelton
• Sadie Celeste Shelton, RBT

• Assisted Living Facility in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.