NPIMap

Organization Active NPI

Good Sheperd Rebilitation

  • Physical Disabilities Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1942508304
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
GOOD SHEPERD REBILITATION
Practice address
7455 W Washington Ave
Ste. 185
Las Vegas, NV 89128-4337
Phone
(702) 722-6408
Fax
(702) 722-6458
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Roy De Guzman, PT
Title
Administrator
Phone
(702) 722-6408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X NV Primary

Addresses

Primary practice location

7455 W Washington Ave
Ste. 185
Las Vegas, NV 89128-4337

Mailing address

7455 W Washington Ave
Ste. 185
Las Vegas, NV 89128-4337
Phone (702) 722-6408

National Provider Directory

National Provider Directory
Tax ID family
Good Sheperd Rebilitation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7455 W Washington Ave
Ste 185
Las Vegas, NV 89128
Phone (702) 722-6408

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942508304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "STE. 185",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-722-6408",
            "fax_number": "702-722-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "STE. 185",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-722-6408",
            "fax_number": "702-722-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPERD REBILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "DE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-722-6408",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NV",
            "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 Jul 21, 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.