Shellback Enterprise Corporation

LBN: Shellback Enterprise Corporation
Shellback Enterprise Corporation is an health care organization with primary practice located at 170 Camden Hill Rd , Lawrenceville GA 30046-7418. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is the primary health care specialty. Shellback Enterprise Corporation can be contacted via phone (770) 338-6799, or through Welch, James Adair via phone (678) 873-2972.

Contact Information

Primary practice address
170 Camden Hill Rd Lawrenceville GA 30046-7418
Phone: (770) 338-6799
Fax: (770) 338-6799
Website:
Map and Directions
Authorized official contact:
Name: Welch, James Adair
Phone: (678) 873-2972

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1558955328
LBN Legal business name Shellback Enterprise Corporation
DBA Doing business as
Authorized official Welch, James Adair
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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