Shepherd Manor Hospicellc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SHEPHERD MANOR HOSPICELLC

Practice address

13017 Artesia Blvd
Suite 120D
Cerritos, CA 90703-1364

Phone

(562) 900-4563

NPI assigned

May 18, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Sheppardjohnson

Title

Managermember

Phone

(562) 900-4563

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1528276276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15522 WILDER AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507345",
            "telephone_number": "562-900-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13017 ARTESIA BLVD",
            "address_2": "SUITE 120D",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031364",
            "telephone_number": "562-900-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD MANOR HOSPICELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SHEPPARDJOHNSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGERMEMBER",
        "authorized_official_telephone_number": "562-900-4563",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Sharma
• Keshara Monee Shaw
• Shawn T. Van Enoo, D.P.M. a Professional Medical Corporation
• Sima J Shayne, FNP
• Jacqueline Shehata
• Emily Sherburn
• Hillary M Sherman-Wicks, LCSW
• Steven Michael Sherman, MD
• Vivian Xiuqi Shi
• Bruce Shiao

• Community Based Hospice Care Agency in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.