# GOOD SHEPHERD HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487688719
- **Authorized official:** ROY MYERS (CHAIRMAN)
- **Authorized official phone:** (480) 650-3766

## Contact information

- **Practice address:** 7455 W WASHINGTON AVE, STE.115, LAS VEGAS, NV 89128-4337
- **Practice address phone:** (702) 893-3333
- **Mailing address:** 11259 E VIA LINDA \# 100-997, SCOTTSDALE, AZ 85259-4076
- **Mailing address phone:** (702) 893-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NV | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020