SHELBY OPCO, LLC (NPI# 1689171431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689171431 |
| Entity Type | Organization |
| Organization Name | SHELBY OPCO, LLC |
| Other Organization Name | SHELBY MANOR |
| Practice Address |
1176 Wyke Rd Shelby NC 28150-4273 |
| Mailing Address |
Po Box 2568 Hickory NC 28603-2568 |
| Practice Telephone | 7044820000 |
| Mailing Telephone | 8283225535 |
| Mailing Fax Number | 8283268109 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | MR. CHARLES E TREFZGER JR. (MANAGER) |
| Authorized Official Telephone | 8283225535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL023046 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Shelby Manor | Doing Business As Name - Organization |
| Street Address |
1176 WYKE RD |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740339126 | Shelby Manor Group Home | Custodial Care Facility | 1176 Wyke Rd, Shelby, NC 28150-4273 | 2007-01-09 |
| 1649501453 | Shelby Manor | Assisted Living Facility | 1176 Wyke Rd, Shelby, NC 28150-4273 | 2010-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1043467533 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1425 E Marion St, Shelby, NC 28150-4979 | 2008-08-26 |
| 1720280324 | Gift of Life | Assisted Living Facility | 1006 Fallston Rd, Shelby, NC 28150-3512 | 2007-06-05 |
| 1124234166 | Greene Haven Family Care Home | Assisted Living Facility | 1833 Stony Point Rd, Shelby, NC 28150-9601 | 2007-05-15 |
| 1700908928 | B Business Corp | Assisted Living Facility | 921 Surry Dr, Shelby, NC 28152-7140 | 2007-04-06 |
| 1497874002 | Nellies Family Care Home Inc | Assisted Living Facility | 1608 Fallston Road, Shelby, NC 28150-4619 | 2007-03-28 |
| 1790819357 | Ethel's Family Care Home | Assisted Living Facility | 3825 Polkville Rd, Shelby, NC 28150-8687 | 2007-03-15 |
| 1043368889 | Ncal-acquisition 1, Inc. | Assisted Living Facility | 950 Hardin Dr, Shelby, NC 28150-3500 | 2007-01-08 |
| 1124456355 | Cleveland House | Assisted Living Facility | 950 Hardin Dr, Shelby, NC 28150-3500 | 2013-10-25 |
| 1598014987 | Shelby Al Holdings, LLC | Assisted Living Facility | 950 Hardin Dr, Shelby, NC 28150-3500 | 2012-08-31 |
| Find all providers in SHELBY | ||||
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| 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.