Healthcare Provider Details

I. General information

NPI: 1255277752
Provider Name (Legal Business Name): ASHBY SHAW HOME CARE LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 MORRIS PARK DR
MINT HILL NC
28227-8253
US

IV. Provider business mailing address

1632 LOOKOUT CIR
WAXHAW NC
28173-8085
US

V. Phone/Fax

Practice location:
  • Phone: 704-702-6670
  • Fax:
Mailing address:
  • Phone: 704-702-6670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NEIL SHAW
Title or Position: CEO
Credential:
Phone: 704-576-3674