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GOOD SHEPERD REBILITATION NPI 1942508304


NPI Information

NPI: 1942508304
Provider Name: GOOD SHEPERD REBILITATION
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
7455 W WASHINGTON AVE
STE. 185
LAS VEGAS, NV
ZIP 89128
Phone: (702) 722-6408
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GOOD SHEPERD REBILITATION is a residential treatment facility physical disabilities in Las Vegas, NV. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. GOOD SHEPERD REBILITATION NPI is 1942508304. The provider is registered as an organization entity type.

The provider's business location address is:

7455 W WASHINGTON AVE
STE. 185
LAS VEGAS, NV
ZIP 89128-337
Phone: (702) 722-6408
Fax: (702) 722-6458

The provider's authorized official is Roy De Guzman .
The authorized official title is Administrator and has the following contact phone number (702) 722-6408.

The enumeration date for this NPI number is 3/9/2011 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
1320700000XResidential Treatment Facility, Physical DisabilitiesNEVADAYes

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

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