Shepherd Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SHEPHERD HOSPICE CARE, LLC

Practice address

106 W Bankhead St
New Albany, MS 38652-3313

Phone

(662) 539-7123

Fax

(662) 539-7086

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Wendy Gore

Title

Ceo

Phone

(601) 842-6497

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Hospice certification: CCN 251709

Legal name

SHEPHERD HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 29, 2020

Last certification

Oct 29, 2020

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

May 1, 2020 in MS

Enrollment address

106 W Bankhead St
New Albany, MS 38652-3313

Listed as

Shepherd Hospice Care, LLCCCN 251709

Ownership

For-Profit

Certified

Oct 29, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Adelo E Aquino, MD

  • Family Medicine Physician
  • Ruleville, MS
  • NPI 1265545875

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adelo E Aquino, MD

  • Family Medicine Physician
  • Ruleville, MS
  • NPI 1265545875

  Hospice

  Care Compare affiliation
• Samuel Joshua Creekmore III, M.D.

  • Family Medicine Physician
  • New Albany, MS
  • NPI 1578538591

  Hospice

  Care Compare affiliation
• Sunil Malhotra, MD

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1841369907

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1699397299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523313",
            "telephone_number": "662-539-7086",
            "fax_number": "662-539-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523313",
            "telephone_number": "662-539-7123",
            "fax_number": "662-539-7086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Goodman Rd E",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719526",
            "country_code": "US",
            "telephone_number": "601-842-6497",
            "fax_number": "662-272-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEPHERD HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-842-6497"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony D Sanford Sr.
• Lyndie C Scott, FNP-C
• Michael Shane Scott, D.O.
• Ronald B Scott, D.O.
• Thomas Andrew Shands, MD
• Stephen Milan Shirley, MD
• Lauren S Simpson, MD
• Rebecca Thompson Siria, D.M.D
• Smith Speech Services, LLC
• Louisa V Smith, SLP

• All providers in New Albany, MS
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.