Good Shepherd Home, Ltd in Seymour - Occupational Therapist
Good Shepherd Home, Ltd - NPI 1114995164
Good Shepherd Home, Ltd is a Occupational Therapist in Seymour, Wisconsin. Good Shepherd Home, Ltd practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Good Shepherd Home, Ltd is 1114995164. The last update date is 2012-01-12.
Good Shepherd Home, Ltd's current location address is 958 Foote Street, Seymour, Wisconsin. You can contact this provider via phone number 9208337796 and fax number 9208332220. The mailing address for Good Shepherd Home, Ltd is 958 Foote Street, Seymour, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Good Shepherd Home, Ltd |
|---|---|
| Address | 958 Foote Street, Seymour, Wisconsin |
| Phone Number | 9208337796 |
| Fax Number | 9208332220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Captain A Deborah |
| Credentials | RN NHA |
| Telephone Number | 9208336856 |
NPI Number Detail
| NPI Number | 1114995164 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
| Address | 958 Foote Street |
|---|---|
| City | Seymour |
| State | Wisconsin (WI) |
| Post Code | 54165 |
| Phone Number | 9208337796 |
| Fax Number | 9208332220 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 2659 |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41814400 | WI | -- |
Post Comment/ Review Below
What is the Good Shepherd Home, Ltd's 1114995164?
The Good Shepherd Home, Ltd's NPI (National Provider Identifier) Number is 1114995164. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Good Shepherd Home, Ltd is physically located?
The Good Shepherd Home, Ltd is situated at the following address: 958 Foote Street, Seymour, WI 54165.
What is the Good Shepherd Home, Ltd's area of specialization and corresponding taxonomy classification?
The Good Shepherd Home, Ltd's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1114995164 to Good Shepherd Home, Ltd?
The Centers for Medicare & Medicaid Services assigned the 1114995164 to Good Shepherd Home, Ltd on 2006-03-08.
As of what date was the information regarding Good Shepherd Home, Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Good Shepherd Home, Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-12.