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SHELBY MANOR
NPI 1649501453
Assisted Living Facility in Shelby, NC

Active since January 18, 2010CLIA 34D2020076 · Waiver
1176 WYKE RD, SHELBY, NC 28150(704) 482-0000(704) 487-0772 Get Directions Write a Review

NPPES record last updated: January 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Manor NPPES

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

SHELBY MANOR (NPI 1649501453) is a healthcare organization registered as an assisted living facility in Shelby, North Carolina and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Bobbi Jo Dorman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649501453
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHELBY MANOR
Location Address1176 WYKE RDShelby, NC 28150-4273
Mailing Address1176 Wyke RdShelby, NC 28150-4273 · (704) 482-0000 · Fax (704) 487-0772
Phone(704) 482-0000
Fax(704) 487-0772
Organization SubpartNo
Authorized OfficialBobbi Jo DormanExecutive Director · (704) 482-0000
Enumeration DateJanuary 18, 2010
✔ NPI 1649501453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
1176 WYKE RD, Shelby, NC 28150
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2020076

Shelby Manor · Shelby, NC
Active · expires Feb 10, 2027
CLIA Number34D2020076
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorNina Warwick-Joyner
Laboratory Phone(704) 482-0000
Laboratory LocationShelby Manor1176 Wyke Road, Shelby, NC 28150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SHELBY OPCO, LLC
Custodial Care Facility (Adult Care Home)
1176 WYKE RD
SHELBY, NC 28150
Cleveland County (704) 482-0000
SHELBY MANOR GROUP HOME
Custodial Care Facility (Adult Care Home)
1176 WYKE RD
SHELBY, NC 28150
Cleveland County (276) 628-5000

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 Shelby Manor's NPI number?

The NPI number for Shelby Manor is 1649501453. It was assigned to this organization in the NPPES registry on January 18, 2010.

Where is Shelby Manor located?

Shelby Manor is located at 1176 Wyke Rd, Shelby, NC 28150. The listed phone number is (704) 482-0000.

What is Shelby Manor's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Shelby Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2020076) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shelby Manor was last updated on January 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.