Active NPI
Good Shepherd Senior Care
- Home Health Agency
- Maumee, OH
National Provider Identifier
1780447235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOOD SHEPHERD SENIOR CARE
- Practice address
- 138 Chesterfield LN
Maumee, OH 43537-2210 - Phone
- (419) 320-2051
- NPI assigned
- Feb 6, 2024
- 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
- Sandeep Banga
- Title
- Ceo
- Phone
- (419) 320-2051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
138 Chesterfield LN
Maumee, OH 43537-2210
Mailing address
138 Chesterfield LN
Maumee, OH 43537-2210
Phone (419) 320-2051
Other names 1
- BrightStar Care of Northwest Ohio
National Provider Directory
National Provider DirectoryLocations
138 Chesterfield Ln
Maumee, OH 43537
Phone (419) 320-2051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1780447235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 CHESTERFIELD LN",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435372210",
"telephone_number": "419-320-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 CHESTERFIELD LN",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435372210",
"telephone_number": "419-320-2051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD SENIOR CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "BANGA",
"authorized_official_first_name": "SANDEEP",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "419-320-2051"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BrightStar Care of Northwest Ohio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.