GOOD SHEPHERD MANAGEMENT CORPORATION NPI 1306742549

NPI Information

  • NPI: 1306742549
  • Provider Name: GOOD SHEPHERD MANAGEMENT CORPORATION
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • :
  • Address: 201 SHEPHERD AVE
    BROOKLYN, NY
    ZIP 11208
  • Phone: (954) 263-3528

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NPI Details

GOOD SHEPHERD MANAGEMENT CORPORATION is a substance abuse rehabilitation facility in Brooklyn, NY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GOOD SHEPHERD MANAGEMENT CORPORATION NPI is 1306742549. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

201 SHEPHERD AVE
BROOKLYN, NY
ZIP 11208-233
Phone: (954) 263-3528

The provider's authorized official is Gwendolyn N Davis .
The authorized official title is Principal and has the following contact phone number (954) 236-6528.

The enumeration date for this NPI number is 10/15/2026 and was last updated on 10/15/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0800XClinic/CenterRecovery CareNo
2310400000XAssisted Living FacilityNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
4313M00000XNursing Facility/Intermediate Care FacilityNo
5324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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