Active NPI
Good Shepherd Healthcare, LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Las Vegas, NV
National Provider Identifier
1487688719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- GOOD SHEPHERD HEALTHCARE, LLC
- Practice address
- 7455 W Washington Ave
Ste.115
Las Vegas, NV 89128-4337 - Phone
- (702) 893-3333
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roy Myers
- Title
- Chairman
- Phone
- (480) 650-3766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | NV | Primary |
Addresses
Primary practice location
7455 W Washington Ave
Ste.115
Las Vegas, NV 89128-4337
Mailing address
11259 E Via Linda # 100-997
Scottsdale, AZ 85259-4076
Phone (702) 893-3333
National Provider Directory
National Provider DirectoryLocations
11259 E Via Linda
#100997
Scottsdale, AZ 85259
7455 W Washington Ave
Ste 115
Las Vegas, NV 89128
Phone (702) 310-6613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487688719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11259 E VIA LINDA # 100-997",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594076",
"telephone_number": "702-893-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "STE.115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284337",
"telephone_number": "702-893-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "ROY",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "480-650-3766"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Good Samaritan LLC
- Good Samaritan Transitional Care & Wound Specialist
- Good Sheperd Rebilitation
- Good Shepherd Healthcare II LLC
- Good Shepherd Healthcare LLC
- Good Shepherd Hospice Care Inc
- Good Shepherd Pca Services
- Good Shepherd Rehab Centers of Las Vegas Inc
- Good Shepherd Rehab Inc.
- Good Shepherd Rehabilitation Institute
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.