Organization Active NPI

Good Shepherd Healthcare, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
National Provider Identifier
1487688719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
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

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
Roy Myers
Title
Chairman
Phone
(480) 650-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

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

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.