NPIMap

Organization Active NPI

Good Shepherd Rehabilitations

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
National Provider Identifier
1750689113
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
RC520 Issued in NV
Legal business name
GOOD SHEPHERD REHABILITATIONS
Practice address
4275 Burnham Ave
Suite 255
Las Vegas, NV 89119-8204
Phone
(702) 380-1060
NPI assigned
Mar 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Irene Joy Gob, RN
Title
Administrator
Phone
(702) 380-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X RC520 NV Primary

Addresses

Primary practice location

4275 Burnham Ave
Suite 255
Las Vegas, NV 89119-8204

Mailing address

4275 Burnham Ave
Suite 255
Las Vegas, NV 89119-8204
Phone (702) 380-1060

Other identifiers 1

IdentifierTypeStateIssuer
1702161MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Good Sheperd Rebilitation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1750689113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198204",
            "telephone_number": "702-380-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198204",
            "telephone_number": "702-380-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD REHABILITATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "GOB",
        "authorized_official_first_name": "IRENE JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-380-1060",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NV",
            "license": "RC520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702161",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.