SHEPHERD HOME HEALTH & HOSPICE LLC (NPI# 1649412396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649412396 |
| Entity Type | Organization |
| Organization Name | SHEPHERD HOME HEALTH & HOSPICE LLC |
| Other Organization Name | SHEPHERD HOME HEALTH LLC |
| Practice Address |
812 W Gary Blvd Clinton OK 73601-2720 |
| Practice Telephone | 5803231580 |
| Practice Fax Number | 5803232581 |
| Mailing Telephone | 5803231580 |
| Mailing Fax Number | 5803232581 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | MR. JAMES ALLEN SHEPHERD (CEO/ ADMINISTRATOR) |
| Authorized Official Telephone | 5803231580 |
| Authorized Official Credential | BS MT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200114810A | 05 |
| Other Name | Type Code |
|---|---|
| Shepherd Home Health LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHEPHERD HOME HEALTH & HOSPICE LLC | 525 S 30th St, Clinton, OK 73601-3656 |
| Street Address |
812 W GARY BLVD |
| City | CLINTON |
| State | OK |
| Zip Code | 73601-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972520435 | Shepherd Home Health & Hospice, LLC. | Home Health | 812 W Gary Blvd, Clinton, OK 73601-2720 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1881059434 | Cathrine Mears | Counselor | 94 N 31st, Clinton, OK 73601 | 2015-12-28 |
| 1326464603 | Melissa Lucia Torres | Nurse Practitioner | 3140 W. Hayes, Clinton, OK 73601 | 2014-03-11 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1881950970 | Namen Bouma | Counselor | 70-100 N. 31st Street, Clinton, OK 73601 | 2012-04-03 |
| 1366717928 | Sherri Lee Milliron | Counselor | 70-100 N 31st, Clinton, OK 73601 | 2012-03-15 |
| 1740597087 | Susan Kathleen Hodges | Counselor | 19 Sunset Place, Clinton, OK 73601 | 2010-09-08 |
| Find all providers in zip 73601 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336581982 | Walk of Faith Hospice Care LLC | Hospice Care, Community Based | 543 Highway 80 W, Suite B, Clinton, MS 39056-4193 | 2013-07-24 |
| 1508137845 | Community Home Care of Robeson County, LLC | Hospice Care, Community Based | 109 W Main St Ste B, Clinton, NC 28328-4046 | 2012-01-18 |
| 1942491964 | Tranquil Blessings Hospice, Inc. | Hospice Care, Community Based | 204 Brighton Dr, Clinton, MS 39056-5439 | 2007-08-05 |
| 1588797872 | Physician Hospice Care 2 LLC | Hospice Care, Community Based | 132 Fairmont St Ste F, Clinton, MS 39056-4721 | 2007-03-14 |
| 1851477418 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 208 Beaman St, Clinton, NC 28328-2906 | 2006-10-27 |
| 1366456535 | Clinton Home Health & Hospice, LLC | Hospice Care, Community Based | 514 Avant Ave, Clinton, OK 73601-3436 | 2006-07-27 |
| 1013313220 | Affinity Home Care LLC | Hospice Care, Community Based | 7700 Old Branch Ave, Clinton, MD 20735-1628 | 2014-11-16 |
| 1205955226 | Committee of Concern, Inc. Dba Multi-county Youth Service | Hospice Care, Community Based | 600 Avant Ave, Clinton, OK 73601 | 2007-03-29 |
| 1659499895 | On Call Nursing of Nc Inc | Hospice Care, Community Based | 202 Sampson St, Clinton, NC 28328-2864 | 2007-03-26 |
| 1508948357 | Mercy Home Care & Hospice-clinton | Hospice Care, Community Based | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2006-10-20 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on SHEPHERD HOME HEALTH & HOSPICE LLC.
| 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.