Shepherd Healthcare Limited

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SHEPHERD HEALTHCARE LIMITED

Practice address

6662 96TH St S
Cottage Grove, MN 55016-3959

Phone

(651) 295-0954

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Adeleye Oyedepo

Title

Founder

Phone

(651) 295-0954

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1114737871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6662 96TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163959",
            "telephone_number": "651-295-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6662 96TH ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163959",
            "telephone_number": "651-295-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD HEALTHCARE LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "OYEDEPO",
        "authorized_official_first_name": "ADELEYE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "651-295-0954"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lydia Sirucek, APRN, CNP

• All providers in Cottage Grove, MN
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.