CLEVELAND HOUSE (NPI# 1124456355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124456355 |
| Entity Type | Organization |
| Organization Name | CLEVELAND HOUSE |
| Other Organization Name | SHELBY HOUSE |
| Practice Address |
950 Hardin Dr Shelby NC 28150-3500 |
| Mailing Address |
Po Box 2568 Hickory NC 28603-2568 |
| Practice Telephone | 8282617304 |
| Practice Fax Number | 8283268109 |
| Mailing Telephone | 8282617304 |
| Mailing Fax Number | 8283268109 |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |
| Authorized Official Name | MR. CHARLES E TREFZGER (MANAGER) |
| Authorized Official Telephone | 8282617309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL023045 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Shelby House | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLEVELAND HOUSE | 1450 Moraga Ave Se, Albany, OR 97322 |
| Ohio Business Entities | CLEVELAND HOUSE HOTELS LLC | 4377 State Road, Cleveland, OH 44109 |
| New York State Corporations | CLEVELAND HOUSE, INC. | 90 State Street, Ste 700, Office 40, Albany, Ny 12207 |
| Street Address |
950 HARDIN DR |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043368889 | Ncal-acquisition 1, Inc. | Assisted Living Facility | 950 Hardin Dr, Shelby, NC 28150-3500 | 2007-01-08 |
| 1598014987 | Shelby Al Holdings, LLC | Assisted Living Facility | 950 Hardin Dr, Shelby, NC 28150-3500 | 2012-08-31 |
| 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 |
| 1689171431 | Shelby Opco, LLC | Assisted Living Facility | 1176 Wyke Rd, Shelby, NC 28150-4273 | 2018-04-09 |
| 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.