Organization Active NPI

Shepherd Health and Living, LLC

  • Home Health Agency
  • Youngstown, OH
National Provider Identifier
1629792585
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHEPHERD HEALTH AND LIVING, LLC
Practice address
839 Southwestern Run Unit a
Youngstown, OH 44514-4688
Phone
(801) 390-1542
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Chase Vance
Title
Owner
Phone
(801) 390-1542

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

839 Southwestern Run Unit a
Youngstown, OH 44514-4688

Mailing address

670 W Bitner Rd Unit H204
Park City, UT 84098-5030
Phone (801) 390-1542

Other identifiers 1

IdentifierTypeStateIssuer
V520-116-92-016-0OtherFLDRIVERS LICENSE

National Provider Directory

National Provider Directory

Locations

839 Southwestern Run
Unit A
Youngstown, OH 44514
Phone (801) 390-1542

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1629792585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W BITNER RD UNIT H204",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985030",
            "telephone_number": "801-390-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 SOUTHWESTERN RUN UNIT A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445144688",
            "telephone_number": "801-390-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD HEALTH AND LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-390-1542"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "V520-116-92-016-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.