GOOD SHEPHERD SERVICES (NPI# 1467852640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467852640 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD SERVICES |
| Practice Address |
103 Selwyn Rd Randolph MA 02368-5185 |
| Practice Telephone | 6173136559 |
| Mailing Telephone | 6173136559 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | MR. LUXON RATEAU (MANAGER) |
| Authorized Official Telephone | 6173136559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699890673 | Good Shepherd Services | Voluntary or Charitable | 305 7th Ave, New York, NY 10001-6008 | 2007-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporation | GOOD SHEPHERD SERVICES LLC | 103 SELWYN RD , RANDOLPH, MA 02368 |
| Virginia Business Entity | Good Shepherd Services LLC | 14706 Featherstone Road , Woodbridge, VA 22191 |
| Street Address |
103 SELWYN RD |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710375472 | Good Shepherd Services LLC | Home Health | 103 Selwyn Rd, Randolph, MA 02368-5185 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750772570 | Chika Patience Okerekw-nwankwo | Custodial Care Facility | 22 Marion Street, Randolph, MA 02368 | 2015-02-16 |
| 1154446367 | Windover House Inc | Custodial Care Facility | 451 Vt Route 66, Randolph, VT 05060-9387 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794641 | Victoria Health Services Inc | Custodial Care Facility | 10 Chase Dr, Sharon, MA 02067-2903 | 2019-11-12 |
| 1376089169 | Theresa Kirby | Custodial Care Facility | 119 Robbins St, Milton, MA 02186-2535 | 2017-01-17 |
| 1518417138 | Helping Hand Adult Say Care Health Center Inc | Custodial Care Facility | 300 Hartwell St, Fall River, MA 02721-2912 | 2016-10-06 |
| 1750831681 | Sweet Home Corp | Custodial Care Facility | 112 Narragansett Blvd, Chicopee, MA 01013-2120 | 2016-10-04 |
| 1336592187 | Bamboo Adult Day Health | Custodial Care Facility | 185 Perkins St, Brockton, MA 02301 | 2016-07-18 |
| 1316390248 | Better Life At Home Inc. | Custodial Care Facility | 292 Salem St, Revere, MA 02151-1000 | 2016-07-15 |
| 1518350875 | Millennium Home Care LLC | Custodial Care Facility | 564 Main St Ste 203, Waltham, MA 02452-5559 | 2015-03-11 |
| 1962809723 | Medicine On Time Corp. | Custodial Care Facility | 154 Lynnway Unit 508, Lynn, MA 01902-3447 | 2014-11-21 |
| 1255747838 | Gvna Healthcare, Inc | Custodial Care Facility | 34 Pearly Lane, Gardner, MA 01440-1736 | 2014-07-03 |
| 1396155115 | Trusted Elderly Home Care Services Inc | Custodial Care Facility | 623 Main St Ste 14, Woburn, MA 01801-2983 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GOOD SHEPHERD SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.