Good Shepherd Family Care Home, Llc in Greensboro - Adult Care Home

Good Shepherd Family Care Home, Llc - NPI 1841470986

Good Shepherd Family Care Home, Llc is a Adult Care Home in Greensboro, North Carolina. Good Shepherd Family Care Home, Llc practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Good Shepherd Family Care Home, Llc is 1841470986. The last update date is 2008-12-30.

Good Shepherd Family Care Home, Llc's current location address is 3592 Hancock Dr, Greensboro, North Carolina. You can contact this provider via phone number 3366440752 and fax number 3366439731. The mailing address for Good Shepherd Family Care Home, Llc is 3592 Hancock Dr, Greensboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Good Shepherd Family Care Home, Llc
Address 3592 Hancock Dr, Greensboro, North Carolina
Phone Number 3366440752
Fax Number 3366439731
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Balassu-Pascua Tomas Arlene
Credentials BSN, RN
Telephone Number 3366440752

NPI Number Detail

NPI Number 1841470986
Provider Enumeration Date 2007-11-06
Last Updated Date 2008-12-30

Provider Mailing Address Detail

Address 3592 Hancock Dr
City Greensboro
State North Carolina (NC)
Post Code 274109157
Phone Number 3366440752
Fax Number 3366439731

Provider's Primary Taxonomy Detail

Speciality Adult Care Home
Taxonomy 311Za0620X
Licence No MHL-041-754
Definition:
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7805363 NC --

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FAQs about Good Shepherd Family Care Home, Llc

What is the unique provider identifier assigned to Good Shepherd Family Care Home, Llc?

The Good Shepherd Family Care Home, Llc has been issued the NPI (National Provider Identifier) 1841470986 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Good Shepherd Family Care Home, Llc is physically located?

The Good Shepherd Family Care Home, Llc is physically situated at the following address: 3592 Hancock Dr, Greensboro, NC, 274109157.

What is the Good Shepherd Family Care Home, Llc's specialty and taxonomy code?

The Good Shepherd Family Care Home, Llc's specialty is Adult Care Home, and the corresponding taxonomy code is 311Za0620X.

When did the Good Shepherd Family Care Home, Llc receive its 1841470986?

The Good Shepherd Family Care Home, Llc was issued its 1841470986 on 2007-11-06, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Good Shepherd Family Care Home, Llc most recently updated or revised?

The information pertaining to Good Shepherd Family Care Home, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-30.

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