Organization
GOOD SHEPHERD HEALTHCARE II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENIGNO MANAHAN TUAZON (CEO)
(702) 893-3333
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVENUE SUITE 255, LAS VEGAS, NV 89119-8204
(702) 893-3333
(702) 893-0960
Mailing address
4275 BURNHAM AVENUE SUITE 255, LAS VEGAS, NV 89119-8204
(702) 893-3333
(702) 893-0960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NV
133NN1002X
Nutrition Education Nutritionist
—
NV
163WC3500X
Cardiac Rehabilitation Registered Nurse
—
NV
224Z00000X
Occupational Therapy Assistant
—
NV
225100000X
Physical Therapist
—
NV
2251C2600X
Cardiopulmonary Physical Therapist
—
NV
2251G0304X
Geriatric Physical Therapist
—
NV
2251N0400X
Neurology Physical Therapist
—
NV
2251X0800X
Orthopedic Physical Therapist
—
NV
225200000X
Physical Therapy Assistant
—
NV
225B00000X
Pulmonary Function Technologist
—
NV
225X00000X
Occupational Therapist
—
NV
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
NV
235Z00000X
Speech-Language Pathologist
Primary
—
NV
Other
Enumeration date
11/24/2006
Last updated
09/11/2025
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