Organization Active NPI

Good Shepherd Pca Services

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1770117616
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 17, 2025

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
250007037MedicaidNV
9722-PCA-0OtherNVPERSONAL CARE AGENCY

Other names 2

  • Confidence Personal Care LLC Former legal business name
  • DBA: Good Shepherd PCA Services Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.