Organization
GOOD SHEPHERD HOSPICE, INC.
Active
Organization
GOOD SHEPHERD HOSPICE, INC.
Active
Other names
Good Shepherd Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BUCCIARELLI (VP, LEGAL SERVICES)
(813) 871-8075
Entity
Organization
Contact information
Practice address
3470 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1946
(863) 682-0027
(863) 682-3006
Mailing address
12470 TELECOM DR STE 300W, ATTENTION: COMPLIANCE, TEMPLE TERRACE, FL 33637-0904
(813) 871-8400
(813) 871-8402
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
50060951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150021000
—
FL
Enumeration date
01/22/2007
Last updated
07/31/2025
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