Organization
GOOD SHEPHERD HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA LOPEZ (CEO & NON-NURSE ADMINISTRATOR)
(401) 409-2928
Entity
Organization
Contact information
Practice address
765 WESTMINSTER ST STE 304, PROVIDENCE, RI 02903-4082
(401) 409-2928
(401) 409-2941
Mailing address
765 WESTMINSTER ST STE 304, PROVIDENCE, RI 02903-4082
(401) 409-2928
(401) 409-2941
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/10/2024
Last updated
11/13/2024
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