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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