Good Shepherd LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GOOD SHEPHERD LLC

Practice address

2403 Tyson Lake Dr
Jacksonville, FL 32221-2847

Phone

(720) 373-3609

NPI assigned

Oct 30, 2024

Organization subpart

No

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

Authorized official

Name

Heaven G Miruts

Title

Owner

Phone

(720) 373-3609

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1114749025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 TYSON LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322212847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 TYSON LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322212847",
            "telephone_number": "720-373-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "MIRUTS",
        "authorized_official_first_name": "HEAVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-373-3609"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiomara Gonzalez
• Yaney Gonzalez, D.M.D
• Zoraya Gonzalez, LPTA
• Gonzalo a Aguilar MD PA
• Good Senior Health
• Good Shepherd Retirement LLC
• Jill Good, OTR/L
• Meadow Maze Good, D.O.
• Rebecca Diane Goodbread, CNA
• Bridgid Marie Goode, LMT

• Non-emergency Medical Transport (VAN) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.