Professional Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROFESSIONAL CARE LLC

Practice address

320 E Graham St
Suite 1
Shelby, NC 28150-5568

Phone

(704) 484-1058

Fax

(704) 484-0787

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Teri T Ellison

Title

Member

Phone

(704) 484-1058

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Professional Care LLC Doing business as

Tax ID family

Professional 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.

• Professional Care LLC

  • Addiction (Substance Use Disorder) Counselor
  • Shelby, NC
  • NPI 1144541277
  NPD tax ID

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1962653873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E GRAHAM ST",
            "address_2": "SUITE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505568",
            "telephone_number": "704-484-1058",
            "fax_number": "704-484-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E GRAHAM ST",
            "address_2": "SUITE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505568",
            "telephone_number": "704-484-1058",
            "fax_number": "704-484-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-484-1058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302573",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of North Carolina Medical PC
• James Michael Prevost, EDD, SCAT, ATC
• Camilla J Price, LPC
• Prime Health Chiropractic
• Professional Care LLC
• Alexis Holland Reuther Pruitt, CNM
• Hannah Grace Pruitt
• Nathalie Martine Prunet, BS, PT
• Barbara Anita Pulliam
• Madison Grace Kinney Punch, CADC-I, CPSS

• Community/Behavioral Health Agency in Shelby, NC
• Providers in Shelby, NC by specialty
• Community/Behavioral Health Agency in North Carolina

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