National Provider Identifier Database

GOOD SHEPHERD FAMILY CARE HOME LLC
Adult Care Home

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 environment.


Contact Information

GOOD SHEPHERD FAMILY CARE HOME, LLC
2810 FLEMING ROAD
GREENSBORO, NC27410
Phone: 336-644-0752
Fax: 336-643-9731
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for GOOD SHEPHERD FAMILY CARE HOME, LLC

NPI Number 1841470986
Legal business name
LBN
GOOD SHEPHERD FAMILY CARE HOME, LLC
Authorized official ARLENE BALASSU-PASCUA - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/06/2007
Last updated 12/30/2008 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: MHL-041-754
  • NC Medicaid: 7805363

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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