Good Shepherd Home Services, LLC

Organization Active NPI Home Health Agency · Middletown, DE

NPI 1972088318 · NPPES record last updated Oct 2, 2018

Key facts

NPI
1972088318
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
GOOD SHEPHERD HOME SERVICES, LLC
Practice address
24 W Minglewood Dr
Middletown, DE 19709-2408
Phone
(302) 376-2882
NPI assigned
Oct 2, 2018
Organization subpart
No

Authorized official

Name
Mr. Vonjo Randolph Tommy, RN
Title
Manager/Owner
Phone
(302) 378-2883

Corporate family (same tax ID) 1

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

Practitioners 1

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

National Provider Directory

Tax ID family
Good Shepherd Home Services LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

24 W Minglewood Dr
Middletown, DE 19709-2408

Mailing address

24 W Minglewood Dr
Middletown, DE 19709-2408
Phone (302) 378-2883

Other names

  • Good Shepherd Home Services, LLC Former legal business name

Other providers in Middletown, DE

All providers in Middletown, DE · Home Health Agency in Delaware

Sources for this page

Verify at the official NPI Registry.