GOOD SHEPHERD HOME CARE AND HOSPICE, INC.; NPI #1508952409

Contact Information

GOOD SHEPHERD HOME CARE AND HOSPICE, INC.

5383 S 900 E
STE 102
SALT LAKE CITY, UT 84117-7249

Phone: 801-277-6474
Fax: 801-277-6475
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for GOOD SHEPHERD HOME CARE AND HOSPICE, INC.

NPI Number 1508952409

LBN Legal business name GOOD SHEPHERD HOME CARE AND HOSPICE, INC.

Authorized official SCOTT JOLLEY - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/05/2006

Last updated 03/31/2011 - About 15 years ago

Identifiers

UT	License #	2005-HOSPICE-54976
UT	Medicaid	810582329002

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GOOD SHEPHERD HOME CARE AND HOSPICE, INC.

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for GOOD SHEPHERD HOME CARE AND HOSPICE, INC.

Reviews for GOOD SHEPHERD HOME CARE AND HOSPICE, INC.