Good Shepherd Assisted Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

2009000738 Issued in GA

Legal business name

GOOD SHEPHERD ASSISTED LIVING

Practice address

1712 Braselton Hwy
Lawrenceville, GA 30043-2813

Phone

(770) 995-4447

Fax

(770) 995-4446

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Florin Ionel Hut

Title

Owner -Sole Proprieter

Phone

(770) 995-4447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1992946073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 BRASELTON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432813",
            "telephone_number": "770-995-4447",
            "fax_number": "770-995-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 BRASELTON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432813",
            "telephone_number": "770-995-4447",
            "fax_number": "770-995-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "HUT",
        "authorized_official_first_name": "FLORIN",
        "authorized_official_middle_name": "IONEL",
        "authorized_official_title_or_position": "OWNER -SOLE PROPRIETER",
        "authorized_official_telephone_number": "770-995-4447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "2009000738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Harrison B Goodno, MD

• Adult Care Home Facility in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.