Good Shepherd Personal Care Service LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6958 Issued in LA

Legal business name

GOOD SHEPHERD PERSONAL CARE SERVICE LLC

Practice address

206 W Madison Ave
Bastrop, LA 71220-3756

Phone

(318) 283-0220

Fax

(318) 283-0210

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Henry Harris III

Title

Owner

Phone

(318) 283-0220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1740402072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203756",
            "telephone_number": "318-283-0220",
            "fax_number": "318-283-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203756",
            "telephone_number": "318-283-0220",
            "fax_number": "318-283-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD PERSONAL CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-283-0220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "6958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706892",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good News Counseling - Bastrop
• Good Shepherd Personal Care LLC
• Good Shepherd Personal Care LLC
• Good Shepherd Personal Care LLC
• Good Shepherd Personal Care LLC
• Shannon L Grantham, LCSW
• Janika E Gray, PT, DPT
• Curt Green
• Randy Green
• Sheila C Green, LPC

• Home Health Agency in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.