Provider Type Icon

GOOD SHEPHERD HOSPICE INC NPI 1821190984


NPI Information

NPI: 1821190984
Provider Name: GOOD SHEPHERD HOSPICE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 37D0961692

Address:
4343 S 118TH EAST AVE STE 160
TULSA, OK
ZIP 74146
Phone: (918) 743-5067
Get Directions

GOOD SHEPHERD HOSPICE INC is a hospice care community based in Tulsa, OK. GOOD SHEPHERD HOSPICE INC NPI is 1821190984. The provider is registered as an organization entity type.

The provider's business location address is:

4343 S 118TH EAST AVE STE 160
TULSA, OK
ZIP 74146-400
Phone: (918) 743-5067
Fax: (918) 743-9376

The provider's authorized official is Jason Kyle Delester .
The authorized official title is President and has the following contact phone number (405) 943-0903.

The CLIA number assigned to this NPI record is 37D0961692 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based4061OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.