Organization Active NPI

Shelby'S Guardian Angels II of NC LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1992070973
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHELBY'S GUARDIAN ANGELS II OF NC LLC
Practice address
2004 Dembrigh LN
Charlotte, NC 28262-2554
Phone
(330) 430-9977
Fax
(330) 452-4300
NPI assigned
Mar 9, 2012
Organization subpart
Yes
Parent organization
SHELBY'S GUARDIAN ANGELS II OF NC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Ms. Helen Marie Mitchell Shelby
Title
Co Ceo
Phone
(330) 327-6332

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

2004 Dembrigh LN
Charlotte, NC 28262-2554

Mailing address

8511 Davis Lake Pkwy Ste C6-186
Charlotte, NC 28269-0536
Phone (330) 430-9977

National Provider Directory

National Provider Directory
Part of
Shelby'S Guardian Angels II of NC LLC

Locations

8511 Davis Lake Pkwy
Ste C6186
Charlotte, NC 28269

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1992070973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 DAVIS LAKE PKWY STE C6-186",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690536",
            "telephone_number": "330-430-9977",
            "fax_number": "330-452-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 DEMBRIGH LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622554",
            "telephone_number": "330-430-9977",
            "fax_number": "330-452-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY'S GUARDIAN ANGELS II OF NC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBY'S GUARDIAN ANGELS II OF NC LLC",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL SHELBY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO CEO",
        "authorized_official_telephone_number": "330-327-6332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.