Provider Demographics
NPI:1457096596
Name:SNEED, SHANNON (PERFECT CHOICE HC)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:SNEED
Suffix:
Gender:F
Credentials:PERFECT CHOICE HC
Other - Prefix:
Other - First Name:PERFECT
Other - Middle Name:
Other - Last Name:CHOICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HOME CARE
Mailing Address - Street 1:PO BOX 2584
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-4584
Mailing Address - Country:US
Mailing Address - Phone:919-725-9055
Mailing Address - Fax:919-725-9071
Practice Address - Street 1:144 MAIN ST RM 111
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3370
Practice Address - Country:US
Practice Address - Phone:919-725-9055
Practice Address - Fax:919-725-9071
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
NCHC6498385H00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC220197Medicaid
NCHC6498Medicaid