Organization Active NPI

Good Shepherd Hospice of Columbia LLC

  • Community Based Hospice Care Agency
  • Columbia, MO
National Provider Identifier
1578452405
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOOD SHEPHERD HOSPICE OF COLUMBIA LLC
Practice address
3301 W Broadway Business Park CT Ste G
Columbia, MO 65203-0106
Phone
(405) 702-0803
Fax
(855) 586-7591
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Jason Delester
Title
Manager
Phone
(405) 943-0903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3301 W Broadway Business Park CT Ste G
Columbia, MO 65203-0106

Mailing address

4350 Will Rogers Pkwy Ste 400
Oklahoma City, OK 73108-1840
Phone (405) 702-0803

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2339185Good Shepherd Hospice of Columbia LLC3301 Broadway Business Park Suite G, Columbia, MO 65203Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

3301 W Broadway Business Park Ct
Ste G
Columbia, MO 65203
Phone (405) 702-0803

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1578452405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WILL ROGERS PKWY STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081840",
            "telephone_number": "405-702-0803",
            "fax_number": "855-586-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W BROADWAY BUSINESS PARK CT STE G",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030106",
            "telephone_number": "405-702-0803",
            "fax_number": "855-586-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOSPICE OF COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "DELESTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-943-0903"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.