NPIMap

Organization Active NPI

Good Shepherd Personal Care LLC

  • In Home Supportive Care Agency
  • Bastrop, LA
National Provider Identifier
1114148673
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOOD SHEPHERD PERSONAL CARE LLC
Practice address
915 N Washington St
Bastrop, LA 71220-3007
Phone
(318) 283-0220
Fax
(318) 283-0210
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Mr. Henry Harris III
Title
Owner
Phone
(318) 283-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

915 N Washington St
Bastrop, LA 71220-3007

Mailing address

915 N Washington St
Bastrop, LA 71220-3007
Phone (318) 283-0220

Other identifiers 1

IdentifierTypeStateIssuer
1454460MedicaidLA

Other names 1

  • GOOD SHEPHERD PERSONAL CARE LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Personal Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1114148673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203007",
            "telephone_number": "318-283-0220",
            "fax_number": "318-283-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203007",
            "telephone_number": "318-283-0220",
            "fax_number": "318-283-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-283-0220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454460",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SHEPHERD PERSONAL CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.