NPIMap

Organization Active NPI

Good Shepherd Rehabilitation Institute Inc

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1437305679
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0815 Issued in NV
Legal business name
GOOD SHEPHERD REHABILITATION INSTITUTE INC
Practice address
2451 S Buffalo Dr Ste 100
Las Vegas, NV 89117-2749
Phone
(702) 893-3333
NPI assigned
Aug 7, 2008
Organization subpart
Yes
Parent organization
GOOD SHEPHERD REHAB CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Cherry Dizon
Title
Otr/L
Phone
(702) 893-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0815 NV Primary

Addresses

Primary practice location

2451 S Buffalo Dr Ste 100
Las Vegas, NV 89117-2749

Mailing address

PO Box 26299
Las Vegas, NV 89126-0299
Phone (702) 893-3333

National Provider Directory

National Provider Directory
Tax ID family
Good Sheperd Rebilitation5 organizations share this tax ID, including this one
Part of
Good Shepherd Rehab Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1437305679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26299",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891260299",
            "telephone_number": "702-893-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S BUFFALO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172749",
            "telephone_number": "702-893-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD REHABILITATION INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD REHAB CENTER",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "702-893-3333"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "0815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.