Shepherd Family Home

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

SHEPHERD FAMILY HOME

Practice address

8893 N Sierra Vista Ave
Fresno, CA 93720-3948

Phone

(559) 298-7998

Fax

(559) 298-1551

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lee W Shepherd

Title

Owner

Phone

(559) 298-7998

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Shepherd Family Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shepherd Home

  • Intellectual Disabilities Intermediate Care Facility
  • Fresno, CA
  • NPI 1114173358
  NPD tax ID

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770679417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8893 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203948",
            "telephone_number": "559-298-7998",
            "fax_number": "559-298-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8893 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203948",
            "telephone_number": "559-298-7998",
            "fax_number": "559-298-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-298-7998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "LTC80272G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Shen
• Yu-Hsuan Shen, L.AC
• Rena Sheng
• Marissa B Shennan, LMFT
• Nandita Shenton
• Shepherd Home
• Misty Dawn Shepherd
• Krunal Sherathiya, BDS, DDS, MS
• Lindsay Sherfield, NP
• Nicole Sherfield, PA, MMS, DMS

• Mental Illness Intermediate Care Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Illness Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.