Good Shepherd Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOOD SHEPHERD ALF LLC

Practice address

8610 NW 24TH CT
Sunrise, FL 33322-3304

Phone

(954) 742-3171

Fax

(954) 721-4509

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Shephnie V White

Title

Administrator

Phone

(954) 292-6398

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1871125880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 NW 24TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223304",
            "telephone_number": "954-742-3171",
            "fax_number": "954-721-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 NW 24TH CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223304",
            "telephone_number": "954-742-3171",
            "fax_number": "954-721-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHEPHNIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-292-6398"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10473",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GOODSHEPHERDALFLLC",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GOODSHEPHERDALFLLC",
            "address_1": "8610 NW 24th Ct",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333223304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pilar Amanda Gonzalez, PT
• Reinol Ignacio Gonzalez
• Stephanie Merced Gonzalez
• Surya Gonzalez
• Victor F. Gonzalez, MD
• James R. Goodman, MD
• Mayce Goodman, LCSW
• Scottlyn Goodman
• Steven David Goodman, D.C.
• Sean Michael Goodrum, CRNA

• Assisted Living Facility in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.