Active NPI
Good Shepherd Care Center Inc
- Clinical Social Worker
- Stafford, TX
National Provider Identifier
1649570367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GOOD SHEPHERD CARE CENTER INC
- Practice address
- 2503H S Main/US 90
Stafford, TX 77477-6337 - Phone
- (832) 250-8654
- NPI assigned
- Oct 28, 2010
- 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
- Mr. Byron Bryant
- Title
- President/Ceo
- Phone
- (832) 250-8654
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2503H S Main/US 90
Stafford, TX 77477-6337
Mailing address
2422 War Admiral Dr
Stafford, TX 77477-6337
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1649570367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 WAR ADMIRAL DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503H S MAIN/US 90",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776337",
"telephone_number": "832-250-8654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "BYRON",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "832-250-8654",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.