GS Integrated Healthcare Systems, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NV6779HHA-0 Issued in NV

Legal business name

GS INTEGRATED HEALTHCARE SYSTEMS, LLC.

Doing business as

Good Shepherd Home Health Services

Practice address

2821 W. Horizon Ridge Pkwy.
Suite #101
Henderson, NV 89052

Phone

(702) 839-0091

Fax

(702) 413-7775

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Raul Abejueta

Title

Ceo

Phone

(702) 893-3333

Specialties & licenses 1

Addresses

Other names 1

• Good Shepherd Home Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881986560. Details of each certification follow.

• CCN 297191 Home health agency · Active · Details

Home health agency certification: CCN 297191

Legal name

GS INTEGRATED HEALTHCARE SYSTEMS LLC

Doing business as

GOOD SHEPHERD HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 30, 2011

Last certification

Sep 25, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 18, 2010 in NV

Enrollment address

2821 W Horizon Ridge Pkwy
Ste 101
Henderson, NV 89052-4429
HHA Branch

Listed as

Good Shepherd Home Health ServicesCCN 297191 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Dec 30, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Good Shepherd Hospice Care Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1871157875

  Member Of

  NPD member
• Good Shepherd Rehab Centers of Las Vegas Inc

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1053594937

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

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.

• Imelda Estiamba Abejuela, RN

  • Registered Nurse
  • Henderson, NV
  • NPI 1215272604
  NPD
• Michelle Miranda

  • Technician
  • Henderson, NV
  • NPI 1215699970
  NPD
• Maria Lynna Tambanillo Canindo, RN

  • Registered Nurse
  • Las Vegas, NV
  • NPI 1750671970
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Loring Jacobs, M.D.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1467525055

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1881986560",
    "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": "2821 W. HORIZON RIDGE PKWY.",
            "address_2": "SUITE #101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-839-0091",
            "fax_number": "702-413-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS INTEGRATED HEALTHCARE SYSTEMS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ABEJUETA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-893-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV6779HHA-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ground Bloom PLLC
• Cory Anthony Growden, CCMA, CPT
• Rosalie Grubbs
• Sarah Gruman, IBCLC
• Gayle Lynn Grusman, APN
• GS Outpatient Facilities
• Gtmi Corporation (KabaFusion NV)
• Raphael Guardian, NP
• Emily Guarino, MS OTR/L
• Linda Beth Guastella, LCPC

• Home Health Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.