Provider Demographics
NPI:1891573630
Name:SHELTERING ARMS IN- HOME LLC
Entity type:Organization
Organization Name:SHELTERING ARMS IN- HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:573-391-0902
Mailing Address - Street 1:3119 W STATE HIGHWAY 84
Mailing Address - Street 2:
Mailing Address - City:BRAGG CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63827-9179
Mailing Address - Country:US
Mailing Address - Phone:573-391-0902
Mailing Address - Fax:
Practice Address - Street 1:3119 W STATE HIGHWAY 84
Practice Address - Street 2:
Practice Address - City:BRAGG CITY
Practice Address - State:MO
Practice Address - Zip Code:63827-9179
Practice Address - Country:US
Practice Address - Phone:573-391-0902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty