CLEVELAND HEALTH VENTURES LLC (NPI# 1780987693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780987693 |
| Entity Type | Organization |
| Organization Name | CLEVELAND HEALTH VENTURES LLC |
| Other Organization Name | CHV SHVI SHELBY |
| Practice Address |
111 W. Grover Street Shelby NC 28150-3824 |
| Mailing Address |
Po Box 601884 Charlotte NC 28260-1884 |
| Practice Telephone | 7044821006 |
| Practice Fax Number | 7044848855 |
| Mailing Telephone | 7044821006 |
| Mailing Fax Number | 7044848855 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2013-06-28 |
| Authorized Official Name | MR. DANIEL WIENS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEVELAND HEALTH VENTURES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPB416 | 05 | |
| NC | 5917581 | 05 |
| Other Name | Type Code |
|---|---|
| CHV SHVI Shelby | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235414830 | Cleveland Health Ventures LLC | Internal Medicine | 823 E. King Street, Kings Mountain, NC 28086-3186 | 2011-10-14 |
| 1760760052 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 825 E. King Street, Kings Mountain, NC 28086-3186 | 2011-08-03 |
| 1861795916 | Cleveland Health Ventures LLC | Internal Medicine | 802 N Lafayette St, Shelby, NC 28150-3831 | 2010-12-13 |
| 1811227978 | Cleveland Health Ventures LLC | Plastic Surgery | 807 Schenck Street, Suite 3, Shelby, NC 28150-5123 | 2010-01-12 |
| 1407195431 | Cleveland Health Ventures LLC | Plastic Surgery | 823 E King St, Suite B, Kings Mountain, NC 28086-3186 | 2013-02-12 |
| 1891063277 | Cleveland Health Ventures LLC | Family Medicine | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2011-12-13 |
| 1326323239 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 823 E King St, Kings Mountain, NC 28086-3186 | 2011-10-12 |
| 1326358334 | Cleveland Health Ventures LLC | Internal Medicine | 222 N Lafayette St, Suite 23, Shelby, NC 28150-4444 | 2010-10-13 |
| 1982916714 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 202 E Grover St, Shelby, NC 28150-3977 | 2010-07-09 |
| 1982927364 | Cleveland Health Ventures LLC | Obstetrics & Gynecology | 821 E King St, Kings Mountain, NC 28086-3186 | 2010-03-12 |
| Street Address |
111 W. GROVER STREET |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3824 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023440898 | Carolinas Physicians Network Inc | Internal Medicine | 111 W Grover St, Shelby, NC 28150-3824 | 2013-08-05 |
| 1992022206 | Brian Heeke | Internal Medicine | 111 W Grover St, Shelby, NC 28150-3824 | 2010-04-26 |
| 1811211733 | Carolinas Physicians Network, Inc. | Internal Medicine | 111 W Grover St, Shelby, NC 28150-3824 | 2010-03-22 |
| 1790984490 | Huajun Liu | Internal Medicine | 111 W Grover St, Shelby, NC 28150-3824 | 2007-07-12 |
| 1487667663 | Nelson Seen | Internal Medicine | 111 W Grover St, Shelby, NC 28150-3824 | 2006-08-15 |
| 1902817240 | Jose Eusebio | Internal Medicine | 111 W Grover St, Shelby, NC 28150-3824 | 2006-08-11 |
| 1578597449 | Lance Briggs | Internal Medicine | 111 W Grover St, Shelby, NC 28150-3824 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
| 1619467529 | Clerio Francisco De Azevedo Filho | Internal Medicine | 10 Medicine Circle - Duke Medical Pavilion Room 1e50, Durham, NC 27710-0001 | 2018-05-16 |
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
| 1225563463 | Benjamin Mcginty Chilcutt | Internal Medicine | 300 Meadowmont Village Cir Ste 104, Chapel Hill, NC 27517-7518 | 2017-04-25 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1982069928 | Four Jewels Healthways | Internal Medicine | 320 Lillington Ave Ste 201, Charlotte, NC 28204-3189 | 2015-12-17 |
| 1932505294 | Donald Frederick Fortin | Internal Medicine | 14001 Weston Pkwy, Suite 101, Cary, NC 27513-2255 | 2014-11-14 |
| 1538564232 | Forsyth Memorial Hospital, Inc | Internal Medicine | 694 Riverside Drive, Mt. Airy, NC 27030-3117 | 2014-10-24 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| Find all providers with the same taxonomy | ||||
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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.