# SHEPHERD CARE HOME CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shepherd Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396512554
- **Authorized official:** TESS PASCUAL (PRESIDENT)
- **Authorized official phone:** (702) 785-2812

## Contact information

- **Practice address:** 5319 STAMPA AVE, LAS VEGAS, NV 89146-6853
- **Practice address phone:** (702) 785-2812
- **Mailing address:** 3531 KAHALA BAY LN, LAS VEGAS, NV 89147-6511
- **Mailing address phone:** (702) 785-2812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 12/07/2023