Shepherd Hill, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

14048 Issued in NE

Legal business name

SHEPHERD HILL, INC.

Practice address

2475 N County Road 1000 E
Seymour, IN 47274-9248

Phone

(812) 522-3048

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Judith Ann Henderson, BSRDH, MSW

Title

Owner

Phone

(812) 523-6986

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1861691578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 N COUNTY ROAD 1000 E",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472749248",
            "telephone_number": "812-522-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 N COUNTY ROAD 1000 E",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472749248",
            "telephone_number": "812-522-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD HILL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-523-6986",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSRDH, MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "14048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.