Organization Active NPI

Good Shepherd Homecare

  • Home Health Aide
  • Port St Lucie, FL
National Provider Identifier
1235947177
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
GOOD SHEPHERD HOMECARE
Practice address
6119 NW Drophy Ave
Port St Lucie, FL 34986-3774
Phone
(772) 224-2477
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Anise Michel, HHA
Title
Owner
Phone
(305) 910-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

6119 NW Drophy Ave
Port St Lucie, FL 34986-3774

Mailing address

6119 NW Drophy Ave
Port St Lucie, FL 34986-3774
Phone (772) 224-2477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1235947177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 NW DROPHY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863774",
            "telephone_number": "772-224-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 NW DROPHY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863774",
            "telephone_number": "772-224-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "ANISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-910-7000",
        "authorized_official_credential": "HHA"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.