Active NPI
Good Shepherds Care Inc.
- Community/Behavioral Health Agency
- Wilmington, NC
National Provider Identifier
1093905119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- HC3479
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346311859 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.