PENNEL ADDY – NPI #1275326894
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

PENNEL ADDY is a residential treatment facility located in SHELBY, NC. NPPES has assigned the NPI number 1275326894 to PENNEL ADDY on May 27, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on Jul 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENNEL ADDY below.

NPI Profile for
PENNEL ADDY

NPI Number
1275326894
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PENNEL ADDY
Primary location
613 POPLAR DR
SHELBY, NC 28152-7619
Phone: (980) 258-3094 Fax:
Mailing address
3229 LIBERTY ELM LN
GASTONIA, NC 28056-5227
Phone: (802) 583-0949 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jul 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.