The Good Shepherd Group Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE GOOD SHEPHERD GROUP HOME, LLC

Practice address

2442 Turnberry Dr
Oviedo, FL 32765-5852

Phone

(407) 314-7115

NPI assigned

Sep 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Dufresne MichelNPI 1164929360

Title

President

Phone

(407) 314-7115

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Dufresne Michel

  • Behavior Technician
  • Clermont, FL
  • NPI 1164929360
  NPD (past) Authorized official

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442102400000",
    "number": "1285002873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 TURNBERRY DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 TURNBERRY DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655852",
            "telephone_number": "407-314-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SHEPHERD GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-13",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "DUFRESNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-314-7115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; 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.