NPIMap

Organization Active NPI

Good Shepherd Hospice Care Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1871157875
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOOD SHEPHERD HOSPICE CARE INC
Practice address
6070 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5615
Phone
(702) 839-1114
Fax
(702) 893-0960
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Mr. Raul Abejuela
Title
President/Ceo
Phone
(702) 893-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

6070 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5615

Mailing address

PO Box 777851
Henderson, NV 89077-7851
Phone (702) 893-3333

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Shepherd Hospice Care IncCCN 291580
Ownership
For-Profit
Certified
Nov 13, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6070 S Fort Apache Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 839-1114

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1871157875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777851",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890777851",
            "telephone_number": "702-893-3333",
            "fax_number": "702-893-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-839-1114",
            "fax_number": "702-893-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "ABEJUELA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "702-893-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.