Active NPI
Shepherd Health and Living, LLC
- Home Health Agency
- Youngstown, OH
National Provider Identifier
1629792585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V520-116-92-016-0 | Other | FL | DRIVERS LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.