The Sheperd'S Lodge

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

APPLIED FOR Issued in NC

Legal business name

THE SHEPERD'S LODGE

Practice address

2918 Duck Point Dr
Monroe, NC 28110-8813

Phone

(704) 953-3128

NPI assigned

Oct 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ann Marie Sharon Ramkissoon

Title

Founder

Phone

(704) 953-3128

Specialties & licenses 8

Addresses

Other names 1

• The Sheperd's lodge Ministries Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1023360443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 DUCK POINT DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108813",
            "telephone_number": "704-953-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 DUCK POINT DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108813",
            "telephone_number": "704-953-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHEPERD'S LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "RAMKISSOON",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "704-953-3128"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "APPLIED FOR",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sheperd's lodge Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Monroe, NC
• Providers in Monroe, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.