Good Shepherd Rehab Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20071354581 Issued in NV

Legal business name

GOOD SHEPHERD REHAB INC.

Practice address

4275 Burnham Ave Ste 255
Las Vegas, NV 89119-8204

Phone

(702) 380-1060

Fax

(702) 380-1081

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Raul Abejuela

Title

Ceo

Phone

(702) 893-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Figueroa

  • Physical Therapist
  • Henderson, NV
  • NPI 1063876373
  NPD

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1386933315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198204",
            "telephone_number": "702-380-1060",
            "fax_number": "702-380-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198204",
            "telephone_number": "702-380-1060",
            "fax_number": "702-380-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "ABEJUELA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-893-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NV",
            "license": "20071354581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001702161",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Healthcare LLC
• Good Shepherd Healthcare, LLC
• Good Shepherd Hospice Care Inc
• Good Shepherd Pca Services
• Good Shepherd Rehab Centers of Las Vegas Inc
• Good Shepherd Rehabilitation Institute
• Good Shepherd Rehabilitation Institute Inc
• Good Shepherd Rehabilitation Institute Inc.
• Good Shepherd Rehabilitation Research Institute Inc.
• Good Shepherd Rehabilitations

• Physical Therapy Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.