Good Shepherd Care Services LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

GOOD SHEPHERD CARE SERVICES LLC

Practice address

7714 NW 78TH CT
Tamarac, FL 33321-2997

Phone

(954) 292-6398

NPI assigned

Mar 12, 2019

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

MBR

Phone

(954) 292-6398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1073071726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7714 NW 78TH CT",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212997",
            "telephone_number": "954-292-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 NW 78TH CT",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212997",
            "telephone_number": "954-292-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHNIE",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "954-292-6398"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Gonzalez Vergara, M.D
• Diana Gonzalez
• Gloria M Gonzalez, PHD, M.S., L.M.H.C.
• Richard Gonzalez
• Yanela Gonzalez, D.M.D.
• Sheldon J Goodman, D.D.S.
• Barry Kevin Gopaul, COTA
• Gordon Heights, Inc
• Gordon Heights, Inc
• Leonard Gordon Jr., PT, DPT

• Developmental Disabilities Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.