Good Shepherd in-Home Senior Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

811006810 Issued in AR

Legal business name

GOOD SHEPHERD IN-HOME SENIOR CARE

Practice address

1801 Forest Hills Blvd
133
Bella Vista, AR 72715-3016

Phone

(479) 248-1475

Fax

(479) 203-7289

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Chip A Brown

Title

Owner

Phone

(479) 248-1475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1649605437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD",
            "address_2": "133",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153016",
            "telephone_number": "479-248-1475",
            "fax_number": "479-203-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD",
            "address_2": "133",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153016",
            "telephone_number": "479-248-1475",
            "fax_number": "479-203-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD IN-HOME SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-248-1475"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AR",
            "license": "811006810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubyn Rene Friedland, FNP
• Gary F Frigon, MD
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• Rizalito Gelicame, PT
• Global Therapy, Inc
• Ashley L Goss, APN
• Pamela Ann Goucher, LCSW
• Barry Graf, M.S., CF-SLP
• James B Graham III, PHARM.D., PH.D.
• Nicholas J Graham, PHARMD

• In Home Supportive Care Agency in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.