Sisters of the Good Shepherd

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1GK3 Issued in MA

Legal business name

SISTERS OF THE GOOD SHEPHERD

Practice address

406 Hemenway St
Marlborough, MA 01752-6751

Phone

(508) 485-8610

Fax

(508) 460-6372

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Ellen Kelly

Title

Provincial

Phone

(718) 278-1155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Shepherd Center Other name

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1093941239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HEMENWAY ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017526751",
            "telephone_number": "508-485-8610",
            "fax_number": "508-460-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 HEMENWAY ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017526751",
            "telephone_number": "508-485-8610",
            "fax_number": "508-460-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF THE GOOD SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PROVINCIAL",
        "authorized_official_telephone_number": "718-278-1155"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "1GK3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110032693B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Care Home Facility in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Adult Care Home Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.