Healthcare Provider Details

I. General information

NPI: 1770402711
Provider Name (Legal Business Name): THE SHEL STITCH COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5534 SAINT JOE RD
FORT WAYNE IN
46835-3328
US

IV. Provider business mailing address

5534 SAINT JOE RD
FORT WAYNE IN
46835-3328
US

V. Phone/Fax

Practice location:
  • Phone: 317-766-6318
  • Fax: 317-766-6318
Mailing address:
  • Phone: 317-766-6318
  • Fax: 317-766-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BEIANA KAY SHELTON
Title or Position: OWNER/MANAGER
Credential: SHELTON
Phone: 317-766-6318