Organization Active NPI

Good Shepherds Care Inc.

  • Community/Behavioral Health Agency
  • Wilmington, NC
National Provider Identifier
1093905119
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
HC3479 Issued in NC
Legal business name
GOOD SHEPHERDS CARE INC.
Practice address
7114 Haven Way
Wilmington, NC 28411-7141
Phone
(910) 686-8667
NPI assigned
Jul 25, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mr. Harry Lee Shepherd
Title
Owner
Phone
(910) 686-8667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X HC3479 NC Primary

Addresses

Primary practice location

7114 Haven Way
Wilmington, NC 28411-7141

Mailing address

7114 Haven Way
Wilmington, NC 28411-7141
Phone (910) 686-8667

Other identifiers 1

IdentifierTypeStateIssuer
1346311859MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1093905119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 HAVEN WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117141",
            "telephone_number": "910-686-8667",
            "fax_number": "910-686-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 HAVEN WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117141",
            "telephone_number": "910-686-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERDS CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-686-8667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "HC3479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346311859",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.