Organization Active NPI

Shepards of Light Healthcare Inc.

  • Nursing Care Agency
  • Marietta, GA
National Provider Identifier
1063371086
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SHEPARDS OF LIGHT HEALTHCARE INC.
Practice address
2475 Satilla LN SW
Marietta, GA 30064-8801
Phone
(617) 309-9959
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Mrs. Amy Jinadu, MS., BCBANPI 1215466602
Title
Administrator
Phone
(617) 309-9959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2475 Satilla LN SW
Marietta, GA 30064-8801

Mailing address

2475 Satilla LN SW
Marietta, GA 30064-8801
Phone (617) 309-9959

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1063371086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 SATILLA LN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300648801",
            "telephone_number": "617-309-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 SATILLA LN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300648801",
            "telephone_number": "617-309-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPARDS OF LIGHT HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "JINADU",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-309-9959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS., BCBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.