Organization Active NPI

Good Shepherds Home Care Inc

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1346311859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3479 Issued in NC
Legal business name
GOOD SHEPHERDS HOME CARE INC
Practice address
7114 Haven Way
Wilmington, NC 28411-7141
Phone
(910) 686-8667
Fax
(910) 686-8667
NPI assigned
Nov 13, 2006
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
Harry Lee Shepherd
Title
Ceo, Owner
Phone
(910) 686-8667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3479 NC Primary

Addresses

Primary practice location

7114 Haven Way
Wilmington, NC 28411-7141

Mailing address

PO Box 10999
Wilmington, NC 28404-0999
Phone (910) 686-8667

Other identifiers 1

IdentifierTypeStateIssuer
6601573MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346311859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10999",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040999",
            "telephone_number": "910-686-8667",
            "fax_number": "910-686-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 HAVEN WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117141",
            "telephone_number": "910-686-8667",
            "fax_number": "910-686-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERDS HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "910-686-8667"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601573",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

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.