SHANTA HARRELL


Address: 106 Holloman Avenue, Ahoskie, NC 27910
Phone: 2526423606

SHANTA HARRELL (NPI# 1124483532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124483532
Entity Type Individual
Full Name SHANTA HARRELL
Practice Address 106 Holloman Avenue
Ahoskie
NC 27910
Mailing Address 1219 North Catherine Street
106 Holloman Avenue
Ahoskie
NC 27910
Practice Telephone 2526423606
Practice Fax Number 2525138230
Mailing Telephone 2526423606
Mailing Fax Number 2525138230
Enumeration Date 2015-12-30
Last Update Date 2015-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion FCL-046-025 NC Nursing Service Related Providers

Office Location

Street Address 106 HOLLOMAN AVENUE
City AHOSKIE
State NC
Zip Code 27910

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376039446 Liberty Healthcare Group LLC Home Health 216 Church Street, W, Ahoskie, NC 27910 2018-07-02
1265925697 Livingwordoutreachministries.com Health Educator 208 Carolina Ave S, Ahoskie, NC 27910 2018-06-11
1932623956 Vernon David Collins Pharmacist 925 East Memorial Drive, Ahoskie, NC 27910 2017-08-01
1417484890 Apoorva Vivek Saoji Internal Medicine 500 S Academy St, Hospitalist Department, Attn Lou Harrell, Ahoskie, NC 27910 2017-05-17
1144607623 All-american Home Care, LLC In Home Supportive Care 900 E. Memorial Dr, Ahoskie, NC 27910 2015-05-04
1649660481 Lindsay Yount Lyall Physician Assistant 500 South Academy Street, Ahoskie, NC 27910 2015-02-02
1932506771 Kathy Massengale Nurse Practitioner 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 2014-11-21
1750700795 Jessica Brown Spruill Dietitian, Registered 718 Evans Street, Ahoskie, NC 27910 2014-04-07
1437405578 Lakeisha Yvette Walker Counselor 114b West St S, Ahoskie, NC 27910 2012-07-26
1356538797 Unique Home Care Agency Home Health 106 S. Railroad Street, Ahoskie, NC 27910 2007-10-01
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Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124634399 Amber House Staffing, LLC Adult Companion 611 Summit Ave Ste 4, Greensboro, NC 27405-7746 2020-09-22
1528671997 Antoinette L Williams Adult Companion 1727 Pepperwood Way, Leland, NC 28451-9393 2020-08-26
1851937148 Stevens House of Hope, Inc Adult Companion 1002 W Waddell St, Selma, NC 27576-2028 2019-11-21
1831731488 Emma Rose Van Gilder Adult Companion 223 Payne Branch Rd, Blowing Rock, NC 28605-9021 2019-10-15
1902363286 Tbh Home Healthcare Adult Companion 4 Briar Cir Apt D, Fayetteville, NC 28306-4940 2019-02-22
1407326010 Home Rule LLC Adult Companion 25 1st Ave Ne Ste 103, Hickory, NC 28601-6220 2018-11-27
1811464522 Larry Moore Adult Companion 620 N Church St Apt 1603, Charlotte, NC 28202-3299 2018-10-31
1013490382 Brianna Terial Amaechi Adult Companion 5301 Jade Forest Trl, Raleigh, NC 27616-5148 2018-09-12
1578052098 Felicia Lavern Gore Adult Companion 330 Treeacres Circle Nw, Calabash, NC 28467 2018-05-10
1326550377 Darlene Denise Seabrooks Adult Companion 3807 Woodbriar Trl, Charlotte, NC 28205-4967 2017-10-31
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Competitor

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City AHOSKIE
Zip Code 27910

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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