# GOOD SHEPHERD HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Shepherd Healthcare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336278761
- **Authorized official:** MICHAEL MANUEL (ADMINISTRATOR)
- **Authorized official phone:** (773) 478-1784

## Contact information

- **Practice address:** 3144 W MONTROSE AVE, 2ND FLOOR, CHICAGO, IL 60618-1333
- **Practice address phone:** (773) 478-1784
- **Practice address fax:** (773) 478-2133
- **Mailing address:** 3144 W MONTROSE AVE, 2ND FLOOR, CHICAGO, IL 60618-1333
- **Mailing address phone:** (773) 478-1784
- **Mailing address fax:** (773) 478-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010661 | IL | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 02/06/2023