Shepherd Impact Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHEPHERD IMPACT SERVICES INC.

Practice address

2415 Lakewood Dr
Grand Prairie, TX 75054-6801

Phone

(214) 734-3362

Fax

(972) 206-2569

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dan Awuku

Title

Director

Phone

(214) 734-3362

Specialties & licenses 1

Addresses

Other names 1

• PROGRESSIVE PHYSICAL THERAPY Doing business as

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1083805576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 LAKEWOOD DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546801",
            "telephone_number": "214-734-3362",
            "fax_number": "972-206-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 LAKEWOOD DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546801",
            "telephone_number": "214-734-3362",
            "fax_number": "972-206-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD IMPACT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "AWUKU",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-734-3362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raushanah Taherrah Shareef-Jefferson, RDH, IBCLC
• Kathleen Elizabeth Sharp, MD
• Wendy Michele Sharp, MS CCC/SLP
• Shebah Care LLC
• Naureen Sheikh, M.D.
• Shepherds Gate Life Changing Center
• Shero Management LLC
• Shining Star Community Health Services, LLC
• Babatunde T Shittu, NP
• Emily Ann Short, COTA

• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.