Organization
GOOD SHEPHERD HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNN OCONNOR (DIRECTOR)
(631) 828-7400
Entity
Organization
Contact information
Practice address
110 BI-COUNTY BLVD., STE. 114, FARMINGDALE, NY 11735
(631) 828-7400
(631) 828-7494
Mailing address
110 BI-COUNTY BLVD., STE. 114, FARMINGDALE, NY 11735
(631) 828-7400
(631) 828-7494
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
251G00000X
NY
251G00000X
Community Based Hospice Care Agency
Primary
5151501F
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01243585
—
NY
Enumeration date
06/13/2005
Last updated
09/28/2023
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