Organization Active NPI

Good Shepherd Healthcare LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1750908273
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD SHEPHERD HEALTHCARE LLC
Practice address
10000 N 31St Ave Ste D311
Phoenix, AZ 85051-1701
Phone
(602) 612-2940
Fax
(602) 926-7404
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Felimon Joson
Title
Administrator
Phone
(602) 612-2940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10000 N 31St Ave Ste D311
Phoenix, AZ 85051-1701

Mailing address

10000 N 31St Ave Ste D311
Phoenix, AZ 85051-1701
Phone (602) 612-2940

Other names 1

  • GOOD SHEPHERD HOME HEALTH Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1750908273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE D311",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511701",
            "telephone_number": "602-612-2940",
            "fax_number": "602-926-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE D311",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511701",
            "telephone_number": "602-612-2940",
            "fax_number": "602-926-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "JOSON",
        "authorized_official_first_name": "FELIMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-612-2940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SHEPHERD HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.