NPIMap

Organization Active NPI

Lifepath Hospice and Palliative Care Inc

Doing business as Good Shepherd Hospice

  • Community Based Hospice Care Agency
  • Temple Terrace, FL
National Provider Identifier
1235120197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFEPATH HOSPICE AND PALLIATIVE CARE INC
Doing business as
Good Shepherd Hospice
Practice address
12973 N Telecom Pkwy
Ste 100
Temple Terrace, FL 33637-0907
Phone
(813) 871-8111
Fax
(813) 975-9621
NPI assigned
Oct 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
George H Wallace
Title
Executive Vice President
Phone
(813) 871-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

12973 N Telecom Pkwy
Ste 100
Temple Terrace, FL 33637-0907

Mailing address

12973 N Telecom Pkwy
Ste 100
Temple Terrace, FL 33637-0907
Phone (813) 871-8111

Other names 1

  • Good Shepherd Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

1239 E Main St
Ste 1
Bartow, FL 33830
Phone (863) 297-1880

115 S Missouri Ave
Ste 500
Lakeland, FL 33815
Phone (863) 682-0027

50 Lake Morton Dr
Lakeland, FL 33801
Phone (863) 288-0821

3725 Upper Creek Dr
Ruskin, FL 33573
Phone (813) 634-7621

11125 N 52nd St
Temple Terrace, FL 33617
Phone (813) 453-3881

320 N 6th Ave
Wauchula, FL 33873
Phone (863) 773-0119

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235120197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12973 N TELECOM PKWY",
            "address_2": "STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370907",
            "telephone_number": "813-871-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12973 N TELECOM PKWY",
            "address_2": "STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370907",
            "telephone_number": "813-871-8111",
            "fax_number": "813-975-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "813-871-8111"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • 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.