Active NPI
Good Shepherd Pca Services
- In Home Supportive Care Agency
- Las Vegas, NV
National Provider Identifier
1770117616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GOOD SHEPHERD PCA SERVICES
- Practice address
- 2235 E Flamingo Rd.
Suite #170
Las Vegas, NV 89119-5186 - Phone
- (702) 966-7118
- Fax
- (702) 839-0095
- NPI assigned
- Mar 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benjamin Arceo Gallegos Jr.
- Title
- Pca Manager
- Phone
- (702) 966-7118
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
2235 E Flamingo Rd.
Suite #170
Las Vegas, NV 89119-5186
Mailing address
2235 E Flamingo Rd.
Suite #170
Las Vegas, NV 89119-5186
Phone (702) 966-7118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250007037 | Medicaid | NV | |
| 9722-PCA-0 | Other | NV | PERSONAL CARE AGENCY |
Other names 2
- Confidence Personal Care LLC
- DBA: Good Shepherd PCA Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Las Vegas, NV
- NPI 1790343721
-
- Personal Care Attendant
- Las Vegas, NV
- NPI 1023696697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1770117616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 E FLAMINGO RD.",
"address_2": "SUITE #170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195186",
"telephone_number": "702-966-7118",
"fax_number": "702-839-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 E FLAMINGO RD.",
"address_2": "SUITE #170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195186",
"telephone_number": "702-966-7118",
"fax_number": "702-839-0095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD PCA SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-01",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "GALLEGOS",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "ARCEO",
"authorized_official_title_or_position": "PCA MANAGER",
"authorized_official_telephone_number": "702-966-7118",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250007037",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE AGENCY",
"identifier": "9722-PCA-0",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Confidence Personal Care LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "DBA: Good Shepherd PCA Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Vegas, NV
- Good Sheperd Rebilitation
- Good Shepherd Healthcare II LLC
- Good Shepherd Healthcare LLC
- Good Shepherd Healthcare, LLC
- Good Shepherd Hospice Care Inc
- Good Shepherd Rehab Centers of Las Vegas Inc
- Good Shepherd Rehab Inc.
- Good Shepherd Rehabilitation Institute
- Good Shepherd Rehabilitation Institute Inc
- Good Shepherd Rehabilitation Institute Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.