# GENTLE SHEPHERD HOME CARE LLC

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

## Provider details

- **NPI number:** 1962908905
- **Authorized official:** RICHARD MILLER (PRESIDENT)
- **Authorized official phone:** (719) 359-8371

## Contact information

- **Practice address:** 1271 KELLY JOHNSON BLVD STE 220, COLORADO SPRINGS, CO 80920-3962
- **Practice address phone:** (719) 359-8371
- **Practice address fax:** (719) 424-7178
- **Mailing address:** 1271 KELLY JOHNSON BLVD STE 220, COLORADO SPRINGS, CO 80920-3962
- **Mailing address phone:** (719) 359-8371
- **Mailing address fax:** (719) 424-7178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 04K180 | CO | Yes |

## Other

- **Enumeration date:** 03/30/2018
- **Last updated:** 11/29/2023