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Contact Information

SHEPHERD'S HOME LLC
8381 YEARLING DRIVE
WOODBURY, MN55129
 Phone: 612-308-1220
 Fax: 612-500-4723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for SHEPHERD'S HOME LLC

NPI # 1760191001
LBN Legal business name SHEPHERD'S HOME LLC
Authorized official ELIBELLE JARDIO - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2022
Last updated 11/15/2022 - About 4 years ago
Identifiers n/a
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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