SHANE HENNES
NPI 1225985898
Adult Companion in Mammoth Lakes, CA

Active since March 12, 2026
1290 TAVERN RD, MAMMOTH LAKES, CA 93546(760) 924-1753 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Hennes NPPES

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

SHANE HENNES (NPI 1225985898) is an individual adult companion provider in Mammoth Lakes, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1225985898
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameSHANE HENNES
Location Address1290 TAVERN RDMammoth Lakes, CA 93546-6601
Mailing Address1290 Tavern RdMammoth Lakes, CA 93546-6601 · (760) 924-1753
Sole ProprietorNo
Enumeration DateMarch 12, 2026
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1225985898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

1290 TAVERN RD, Mammoth Lakes, CA 93546

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Adult Companion
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Counselor (Addiction (Substance Use Disorder))
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Case Manager/Care Coordinator
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Marriage & Family Therapist
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Community Health Worker
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Social Worker (Clinical)
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Counselor (Mental Health)
1290 TAVERN RD
MAMMOTH LAKES, CA 93546

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 Shane Hennes's NPI number?

The NPI number for Shane Hennes is 1225985898. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Shane Hennes located?

Shane Hennes practices at 1290 Tavern Rd, Mammoth Lakes, CA 93546. The listed phone number is (760) 924-1753.

What is Shane Hennes's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Shane Hennes was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.