Good Shepherd Home Care and Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2005-HOSPICE-54976 Issued in UT

Legal business name

GOOD SHEPHERD HOME CARE AND HOSPICE, INC.

Practice address

5383 S 900 E
Ste 102
Salt Lake City, UT 84117-7249

Phone

(801) 277-6474

Fax

(801) 277-6475

NPI assigned

Oct 5, 2006

Organization subpart

Yes

Parent organization

GOOD SHEPHERD HOMECARE AND HOSPICE, INCAs reported in NPPES

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

Authorized official

Name

Mr. Scott Jolley

Title

President

Phone

(801) 277-6474

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Good Shepherd Home Care and Hospice Inc

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1508952409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 S 900 E",
            "address_2": "STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177249",
            "telephone_number": "801-277-6474",
            "fax_number": "801-277-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 S 900 E",
            "address_2": "STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177249",
            "telephone_number": "801-277-6474",
            "fax_number": "801-277-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOME CARE AND HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD HOMECARE AND HOSPICE, INC",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-277-6474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2005-HOSPICE-54976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810582329002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Gonzalez
• Kimberly Gonzalez
• Steviee Shana Gonzalez
• Vanessa Gonzalez
• Kristen Elena Gooch, NP-C
• Good Therapy Place
• Good Vibez Wellness Center LLC
• Delaney Christine Good
• Rebecca M Good, MA, RNC, ACRN, LPC
• Savannah Good

• Community Based Hospice Care Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community Based Hospice Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.