# GOOD SHEPHERD HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOOD SHEPHERD HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750908273
- **Authorized official:** FELIMON JOSON (ADMINISTRATOR)
- **Authorized official phone:** (602) 612-2940

## Contact information

- **Practice address:** 10000 N 31ST AVE STE D311, PHOENIX, AZ 85051-1701
- **Practice address phone:** (602) 612-2940
- **Practice address fax:** (602) 926-7404
- **Mailing address:** 10000 N 31ST AVE STE D311, PHOENIX, AZ 85051-1701
- **Mailing address phone:** (602) 612-2940
- **Mailing address fax:** (602) 926-7404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2020
- **Last updated:** 06/30/2020