CLADDAUGH HOME CARE INC (NPI# 1225038318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225038318 |
| Entity Type | Organization |
| Organization Name | CLADDAUGH HOME CARE INC |
| Practice Address |
201 S Washington St #104 Shelby NC 28150-2614 |
| Mailing Address |
Po Box 519 Shelby NC 28151-0519 |
| Practice Telephone | 7044806506 |
| Practice Fax Number | 7044808187 |
| Mailing Telephone | 7044806506 |
| Mailing Fax Number | 7044808187 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2009-08-03 |
| Authorized Official Name | MR. DENNIS LOYD MCMILLAN (AGENCY DIRECTOR OWNER) |
| Authorized Official Telephone | 7044806506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | HC2271 | NC | Agencies |
| Y | 251E00000X | Home Health | HC1993 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6600752 | 05 | |
| NC | 3409289 | 05 | |
| NC | 7100420 | 05 |
| Street Address |
201 S WASHINGTON ST #104 |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-2614 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380167 | Cnc / Access, Inc. | Home Health | 115 E College Ave, Shelby, NC 28152-9543 | 2016-07-15 |
| 1124438288 | National Health Associates, LLC | Home Health | 2189 S 86th Ave, Shelby, MI 49455-9726 | 2014-04-29 |
| 1831306984 | Interim Healthcare of The Triad, Inc. | Home Health | 201 W Marion St Ste 206, Charleston Place, Shelby, NC 28150-5094 | 2007-05-17 |
| 1922215078 | Interim Healthcare of The Triad, Inc. | Home Health | 121-a West Marion Street, Shelby, NC 28150-5094 | 2007-05-17 |
| 1932251162 | All Care Providers | Home Health | 211 N Lafayette St, Shelby, NC 28150-4447 | 2007-01-17 |
| 1649203431 | Total Care Home Health of North Carolina, LLC | Home Health | 1405 N Lafayette St, Shelby, NC 28150-3406 | 2006-07-08 |
| 1588696322 | Bayada Home Health Care, Inc. | Home Health | 1105-3 E Dixon Blvd, Shelby, NC 28152 | 2006-07-06 |
| 1700812922 | Shelby Home & Public Health, Inc. | Home Health | 142 N Gamble St, Suite B, Shelby, OH 44875-2114 | 2006-06-23 |
| 1780671834 | Toole County | Home Health | 640 Park Ave, Shelby, MT 59474-1663 | 2005-10-04 |
| 1144222365 | Carolinas Medical Center At Home, LLC | Home Health | 105 T R Harris Dr, Shelby, NC 28150-3486 | 2005-06-01 |
| 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.