Active NPI
Shelby'S Guardian Angels II of NC LLC
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1992070973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.