Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHIRLEY'S ENRICHMENT HOUSE, LLC
NPI 1104742790
Community Based Residential Treatment Facility, Mental Illness in Troutman, NC

Active since June 26, 2026
169 TACKLE BOX DR, TROUTMAN, NC 28166(704) 291-1454 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley's Enrichment House, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY'S ENRICHMENT HOUSE, LLC (NPI 1104742790) is a healthcare organization registered as a community based residential treatment facility, mental illness in Troutman, North Carolina and active in the NPI registry since June 2026. The organization lists Chrystal Guinyard, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104742790
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSHIRLEY'S ENRICHMENT HOUSE, LLC
Location Address169 TACKLE BOX DRTroutman, NC 28166-0140
Mailing Address169 Tackle Box DrTroutman, NC 28166-0140 · (704) 291-1454
Organization SubpartNo
Authorized OfficialChrystal GuinyardExecutive Director · (704) 291-1454
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1104742790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
169 TACKLE BOX DR, Troutman, NC 28166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley's Enrichment House, LLC's NPI number?

The NPI number for Shirley's Enrichment House, LLC is 1104742790. It was assigned to this organization in the NPPES registry on June 26, 2026.

Where is Shirley's Enrichment House, LLC located?

Shirley's Enrichment House, LLC is located at 169 Tackle Box Dr, Troutman, NC 28166. The listed phone number is (704) 291-1454.

What is Shirley's Enrichment House, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Shirley's Enrichment House, LLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.