The Good Sheperd II Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE GOOD SHEPERD II ALF INC

Practice address

2953 NW 10TH CT
Fort Lauderdale, FL 33311-5609

Phone

(954) 292-6398

NPI assigned

Feb 7, 2020

Last updated

Feb 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephnie White

Title

Administrator

Phone

(954) 292-6398

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE GOOD SHEPERD II ALF INC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1063044089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 NW 10TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115609",
            "telephone_number": "954-292-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 NW 10TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115609",
            "telephone_number": "954-292-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SHEPERD II ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-292-6398"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10744",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "THEGOODSHEPERDIIALFINC",
            "affiliation": "N",
            "address_1": "2953 NW 10th Ct",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333115609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "THE GOOD SHEPERD II ALF INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• The Dental Loft LLC
• The Doctors of Sleep Apnea LLC
• The Family Place FL, LLC
• The Family Place FL, Professional Group, LLC
• The Garden of Health, Inc
• The Green Dental Studio PA (The Green Dental Studio)
• The Healing Arts Company
• The Interventional Pain & Spine Institute
• The Life Clinic LLC
• The Lovejoy Method

• Assisted Living Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.