Good Shepherd Assistant Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

139482 Issued in TX

Legal business name

GOOD SHEPHERD ASSISTANT LIVING

Practice address

703 N Houston Ave
Livingston, TX 77351-2933

Phone

(936) 327-9956

NPI assigned

Feb 17, 2015

Organization subpart

No

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

Authorized official

Name

Dina Dickerson

Title

Director

Phone

(936) 223-1858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1508257148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N HOUSTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512933",
            "telephone_number": "936-327-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N HOUSTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512933",
            "telephone_number": "936-327-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD ASSISTANT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "936-223-1858"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "139482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Garnepudi, MD
• George L. Deloach, D.O., PA
• Gerald Ratinov MD Care P a
• Alison Glass, OTD
• Christina Marie Gonzalez, LPC
• Donnal Blake Goodwin, COTA
• Thomas Reagan Graffagnino, FNP-C
• Roxanne Green, LCDC
• Shaniqua Green
• Paul Francis Griffin, MSPT

• Assisted Living Facility in Livingston, TX
• Providers in Livingston, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.