Organization Active NPI

Good Shepherd Healthcare II LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1760558696
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GOOD SHEPHERD HEALTHCARE II LLC
Practice address
4275 Burnham Avenue Suite 255
Las Vegas, NV 89119-8204
Phone
(702) 893-3333
Fax
(702) 893-0960
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Benigno Manahan Tuazon
Title
Ceo
Phone
(702) 893-3333

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NV
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X NV
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X NV
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X NV
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NV
Cardiopulmonary Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251C2600X NV
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X NV
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X NV
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X NV
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X NV
Pulmonary Function TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 225B00000X NV
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X NV
Pulmonary Rehabilitation Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279P1005X NV
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X NV Primary

Addresses

Primary practice location

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

Mailing address

4275 Burnham Avenue Suite 255
Las Vegas, NV 89119-8204
Phone (702) 893-3333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760558696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVENUE SUITE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198204",
            "telephone_number": "702-893-3333",
            "fax_number": "702-893-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVENUE SUITE 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198204",
            "telephone_number": "702-893-3333",
            "fax_number": "702-893-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HEALTHCARE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TUAZON",
        "authorized_official_first_name": "BENIGNO",
        "authorized_official_middle_name": "MANAHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-893-3333"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pulmonary Function Technologist",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; 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.