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SHEPHERD CARE LLC NPI 1669932323


NPI Information

NPI: 1669932323
Provider Name: SHEPHERD CARE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
75 BISHOP ST STE 17
PORTLAND, ME
ZIP 04103
Phone: (207) 352-8799
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SHEPHERD CARE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Portland, ME. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SHEPHERD CARE, LLC NPI is 1669932323. The provider is registered as an organization entity type.

The provider's business location address is:

75 BISHOP ST STE 17
PORTLAND, ME
ZIP 04103-614
Phone: (207) 352-8799

The provider's authorized official is Yugu Alfred Yobo .
The authorized official title is Owner and has the following contact phone number (207) 482-9531.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 3/3/2021.


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
1253Z00000XIn Home Supportive CareNo
2320700000XResidential Treatment Facility, Physical DisabilitiesNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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.