Shepherd Support Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

690 Issued in MO

Legal business name

SHEPHERD SUPPORT SERVICES, LLC

Doing business as

Adult Tendercare Center - Monett Campus

Practice address

1010 Old Airport Rd
Monett, MO 65708-9182

Phone

(417) 236-0199

Fax

(417) 236-0220

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Henry David Hunter Jr.

Title

General Manager

Phone

(417) 489-6300

Specialties & licenses 1

Addresses

Other names 1

• Adult Tendercare Center - Monett Campus Doing business as

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114049780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 W DRIFTWOOD CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078151",
            "telephone_number": "417-866-1559",
            "fax_number": "417-823-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OLD AIRPORT RD",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657089182",
            "telephone_number": "417-236-0199",
            "fax_number": "417-236-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "417-489-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Tendercare Center - Monett Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Monett, MO
• Providers in Monett, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.