Good Shepherd Support Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GOOD SHEPHERD SUPPORT INC

Practice address

19760 Longmeadow Rd Ste a
Hagerstown, MD 21742-2545

Phone

(443) 621-6235

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Dorcas AdeyemoNPI 1033494323

Title

Ceo

Phone

(443) 621-6235

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorcas Ayobami Adeyemo, M.ED GUIDANCE & COUN

  • Home Health Aide
  • Windsor Mill, MD
  • NPI 1033494323
  NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1952170862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19760 LONGMEADOW RD STE A",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422545",
            "telephone_number": "443-621-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19760 LONGMEADOW RD STE A",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422545",
            "telephone_number": "443-621-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "ADEYEMO",
        "authorized_official_first_name": "DORCAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-621-6235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Golden, PA-C
• Christopher Goldrick
• Alta Gomez
• Rosa Erica Gonzales
• David Gonzalez-Cawley, MD
• Stuart Jack Goodman, M.D., MBA
• Dylan Wayne Goodwin, PHARMD
• Gordon S. Groisser, DDS, MSD (Village Orthodontics)
• Eryn Gordon, PHARMD, RPH
• Krista Marie Gordon, LCPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.