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ETHEL'S FAMILY CARE HOME
NPI 1790819357
Assisted Living Facility in Shelby, NC

Active since March 15, 2007
3825 POLKVILLE RD, SHELBY, NC 28150(704) 482-0596 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethel's Family Care Home NPPES

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

ETHEL'S FAMILY CARE HOME (NPI 1790819357) is a healthcare organization registered as an assisted living facility in Shelby, North Carolina and active in the NPI registry since March 2007. The organization lists Ethel Wellmon, Owner, as its authorized official.

NPPES Registry Identity

NPI1790819357
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameETHEL'S FAMILY CARE HOME
Location Address3825 POLKVILLE RDShelby, NC 28150-8687
Mailing Address3825 Polkville RdShelby, NC 28150-8687
Phone(704) 482-0596
Organization SubpartNo
Authorized OfficialEthel WellmonOwner · (704) 482-0596
Enumeration DateMarch 15, 2007
Last NPPES UpdateJune 12, 2008
✔ NPI 1790819357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · FCL023005
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.
3825 POLKVILLE RD, Shelby, NC 28150
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Other Identifiers 1

Medicaid7801056NC

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 Ethel's Family Care Home's NPI number?

The NPI number for Ethel's Family Care Home is 1790819357. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Ethel's Family Care Home located?

Ethel's Family Care Home is located at 3825 Polkville Rd, Shelby, NC 28150. The listed phone number is (704) 482-0596.

What is Ethel's Family Care Home's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethel's Family Care Home was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.