Shepherd Home Care LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SHEPHERD HOME CARE LLC

Practice address

7702 N 35TH Ave RM 3
Phoenix, AZ 85051-6508

Phone

(623) 268-2542

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Simeon Jolly Kpa

Title

Administrator

Phone

(480) 277-8454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1891407656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 N 35TH AVE RM 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516508",
            "telephone_number": "623-268-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 N 35TH AVE RM 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516508",
            "telephone_number": "623-268-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "KPA",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_middle_name": "JOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-277-8454"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Douglas Shepard, PT, DPT
• Shannon Shepard
• Sheperd Care
• Shepherd Health
• Shepherd Health
• Deborah Marie Shepherd, ACNP
• Donna Shepherd
• Marilyn Shepherd
• Michelle L Shepherd, PA-C
• Morgan Shepherd, BCBA

• Developmentally Disabled Services Day Training Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Developmentally Disabled Services Day Training Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.