Shepherd Care Home Corp

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SHEPHERD CARE HOME CORP

Practice address

5319 Stampa Ave
Las Vegas, NV 89146-6853

Phone

(702) 785-2812

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Tess PascualNPI 1801393624

Title

President

Phone

(702) 785-2812

Specialties & licenses 1

Addresses

Other names 1

• Shepherd Care Home Doing business as

Practitioners 1

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

• Tess Pascual

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1801393624
  NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1396512554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 KAHALA BAY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476511",
            "telephone_number": "702-785-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 STAMPA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466853",
            "telephone_number": "702-785-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD CARE HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "TESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-785-2812"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Shepard, RN, CDCES
• Kenneth Shepardson, PHD
• Gloria Maynor Shephard-Owens
• Dierdre Shephard
• William Shephard
• Shepherd Eye Center
• Shepherd Eye Center, LTD
• Shepherd Eye Center, LTD
• Denna Shepherd Touchstone
• Arion Marsh Shepherd, APRN

• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.