THE GOOD SHEPHERD HOME CARE LLC NPI 1750690582

NPI Information

NPI: 1750690582
Provider Name: THE GOOD SHEPHERD HOME CARE, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
11223 CORNELL PARK DR
SUITE 401
BLUE ASH, OH
ZIP 45242
Phone: (513) 488-1938
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THE GOOD SHEPHERD HOME CARE, LLC is a nursing care in Blue Ash, OH. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. THE GOOD SHEPHERD HOME CARE, LLC NPI is 1750690582. The provider is registered as an organization entity type.

The provider's business location address is:

11223 CORNELL PARK DR
SUITE 401
BLUE ASH, OH
ZIP 45242-835
Phone: (513) 488-1938
Fax: (513) 488-1934

The provider's authorized official is John Michael Wallace .
The authorized official title is Ceo/vp Of Business Development and has the following contact phone number (513) 488-1938.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 3/17/2011.

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	License Number	License State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services	3114427	OHIO	No
2	251E00000X	Home Health			No
3	253Z00000X	In Home Supportive Care			No
4	251J00000X	Nursing Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3114427	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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