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SHELBY MANOR GROUP HOME
NPI 1740339126
Custodial Care Facility - Adult Care Home in Shelby, NC

Active since January 09, 2007
1176 WYKE RD, SHELBY, NC 28150(276) 628-5000(276) 623-2148 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shelby Manor Group Home NPPES

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

SHELBY MANOR GROUP HOME (NPI 1740339126) is a healthcare organization registered as an adult care home in Shelby, North Carolina and active in the NPI registry since January 2007. The organization lists Dennis R. Owens, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1740339126
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSHELBY MANOR GROUP HOME
Location Address1176 WYKE RDShelby, NC 28150-4273
Mailing Address100 Abingdon PlAbingdon, VA 24211-6122 · (276) 628-5000 · Fax (276) 623-2148
Phone(276) 628-5000
Fax(276) 623-2148
Organization SubpartNo
Authorized OfficialDennis R. OwensExecutive Vice President · (276) 628-5000
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740339126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · HAL023008
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1176 WYKE RD, Shelby, NC 28150
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Other Identifiers 1

Medicaid7803639NC

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 MANOR
Assisted Living Facility
1176 WYKE RD
SHELBY, NC 28150
Cleveland County (704) 482-0000
SHELBY OPCO, LLC
Custodial Care Facility (Adult Care Home)
1176 WYKE RD
SHELBY, NC 28150
Cleveland County (704) 482-0000

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 Group Home's NPI number?

The NPI number for Shelby Manor Group Home is 1740339126. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Shelby Manor Group Home located?

Shelby Manor Group Home is located at 1176 Wyke Rd, Shelby, NC 28150. The listed phone number is (276) 628-5000.

What is Shelby Manor Group Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Shelby Manor Group Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.