OrganizationActive
Ccj Adult Care III LLC
NPI 1215604822 · Adult Care Home Facility · Shelby, NC
Ccj Adult Care III LLC is a Adult Care Home Facility organization in Shelby, NC (NPI 1215604822).
Provider details
- NPI number
- 1215604822
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bernice Hosch, Administrator/Operator(980) 295-3020
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1833 Stoney Point Rd
Shelby, NC 28150-9601
Phone: (980) 295-3020
Street-level locationGet directions
Mailing address
Po Box 74
Bessemer City, NC 28016-0074
Other names (DBA / former)
- Doing business as
- Greene Haven Family Care Home
Additional practice locations (1)
- 100 W Main Ave Apt 302Gastonia, NC 28052-4172Phone: (980) 295-3020
Registry dates
- Enumerated
- 2021-08-23
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Frequently asked questions
- What is Ccj Adult Care III LLC's NPI number?
- Ccj Adult Care III LLC's National Provider Identifier (NPI) is 1215604822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccj Adult Care III LLC?
- Ccj Adult Care III LLC is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Ccj Adult Care III LLC located?
- Ccj Adult Care III LLC's practice location on file with NPPES is 1833 Stoney Point Rd, Shelby, NC 28150-9601.
- What is Ccj Adult Care III LLC's phone number?
- The practice phone number listed in the NPPES registry for Ccj Adult Care III LLC is (980) 295-3020.
- Who is the authorized official for Ccj Adult Care III LLC?
- The authorized official listed on Ccj Adult Care III LLC's NPPES record is Bernice Hosch, Administrator/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccj Adult Care III LLC's NPI active?
- Yes — Ccj Adult Care III LLC's NPI (1215604822) is active in the NPPES registry as of the last update on 2021-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.