Shepherd Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHEPHERD HOME HEALTH SERVICES INC

Practice address

12715 Clock Tower Pkwy
Hudson, FL 34667-2504

Phone

(954) 274-9113

Fax

(866) 924-5296

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Martiale Faustin, RNNPI 1043602733

Title

Ceo

Phone

(954) 274-9113

Specialties & licenses 3

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martiale Faustin, REGISTERED NURSE

  • Registered Nurse
  • Hudson, FL
  • NPI 1043602733
  NPD Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1710531769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 CLOCK TOWER PKWY",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672504",
            "telephone_number": "954-274-9113",
            "fax_number": "866-924-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12715 CLOCK TOWER PKWY",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672504",
            "telephone_number": "954-274-9113",
            "fax_number": "866-924-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "MARTIALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-274-9113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hudson",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12715 Clock Tower Pkwy",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346672504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shahtaj Shah, DO
• Teri Lynn Shapiro
• Naser Ahsan Shareef, DO
• Nagaraja D Sharma, MD
• Clinton Woods Sheets, M.D.
• Janice Shirley, PA
• Carolyn Shuey
• Juliet Neely Sides, LMT
• Bruno Silva, DO
• Marinell Padilla Simkins

• Home Health Agency in Hudson, FL
• Providers in Hudson, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.