Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHEPHERD HEALTH AND LIVING, LLC
Active
Organization
SHEPHERD HEALTH AND LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE VANCE (OWNER)
(801) 390-1542
Entity
Organization
Contact information
Practice address
839 SOUTHWESTERN RUN UNIT A, YOUNGSTOWN, OH 44514-4688
(801) 390-1542
Mailing address
670 W BITNER RD UNIT H204, PARK CITY, UT 84098-5030
(801) 390-1542
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V520-116-92-016-0
DRIVERS LICENSE
FL
Enumeration date
10/03/2022
Last updated
10/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up