GOOD SHEPHERD IN-HOME SENIOR CARE (NPI# 1649605437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649605437 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD IN-HOME SENIOR CARE |
| Practice Address |
1801 Forest Hills Blvd 133 Bella Vista AR 72715-3016 |
| Practice Telephone | 4792481475 |
| Practice Fax Number | 4792037289 |
| Mailing Telephone | 4792481475 |
| Mailing Fax Number | 4792037289 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | CHIP A BROWN (OWNER) |
| Authorized Official Telephone | 4792481475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 811006810 | AR | Agencies |
| Street Address |
1801 FOREST HILLS BLVD 133 |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72715-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255395752 | Larry Don Wright | Internal Medicine | 1801 Forest Hills Blvd, Suite 201, Bella Vista, AR 72715-3016 | 2006-04-13 |
| 1124579164 | Mountaincrest Rehabilitation | Clinic/Center | 1801 Forest Hills Blvd, Bella Vista, AR 72715-3016 | 2016-10-14 |
| 1114392818 | Paochoua Lee | Physical Therapy Assistant | 1801 Forest Hills Blvd, Ste# 205, Bella Vista, AR 72715-3016 | 2015-12-07 |
| 1669817342 | Amanda R Davitt | Physical Therapy Assistant | 1801 Forest Hills Blvd, 205, Bella Vista, AR 72715-3016 | 2013-05-07 |
| 1477835213 | Shane Ledrew Fink | Physical Therapy Assistant | 1801 Forest Hills Blvd, 205, Bella Vista, AR 72715-3016 | 2011-09-19 |
| 1902101322 | John J Bania | Physical Therapy Assistant | 1801 Forest Hills Blvd, Ste# 205, Bella Vista, AR 72715-3016 | 2011-01-14 |
| 1821251273 | Alisa Joy Johnson | Massage Therapist | 1801 Forest Hills Blvd, Ste 202, Bella Vista, AR 72715-3016 | 2008-07-07 |
| 1518918515 | Qhg of Springdale Inc | Clinic/Center | 1801 Forest Hills Blvd, Suite 6201, Bella Vista, AR 72715-3016 | 2006-05-14 |
| 1588614945 | Stewart Ong | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715-3016 | 2006-05-10 |
| 1790742021 | Coleen Leann Moore | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878190 | Joshua Christian Hefty | Physical Therapy Assistant | 1801 Forest Blvd #205, Bella Vista, AR 72715 | 2020-10-15 |
| 1588892822 | Judith Ann Hamby | Physical Therapist | 1801 Forest Hills, Suite 205, Bella Vista, AR 72715 | 2009-06-25 |
| 1184789398 | Kurt Solera | Dentist | 600 West Lancashire Blvd, Bella Vista, AR 72715 | 2006-12-27 |
| 1366532749 | Sonja Ruth Kvale | Counselor | 5 Player Lane, Bella Vista, AR 72715 | 2006-10-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| 1982769592 | Kurt Solera Dds Pa | Dentist | 600 W Lancashire Blvd, Bella Vista, AR 72715-0237 | 2006-12-26 |
| 1407814270 | Richard Wayne Miles | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2006-05-02 |
| 1073748141 | Richard W. Miles, M.d. & Assoc., Pllc | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2009-05-19 |
| 1366043903 | Stephanie Jane Brackeen | Massage Therapist | 95 Bassingham Dr, Bella Vista, AR 72715-1526 | 2020-11-02 |
| 1144642398 | Shauna Harp | Respiratory Therapist, Registered | 10 Weston Ln, Bella Vista, AR 72715-2301 | 2014-01-07 |
| Find all providers in zip 72715 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727613 | Arkansas 1st Class Consumer Directed Services LLC | In Home Supportive Care | 825 E Main St Ste I, Blytheville, AR 72315-2599 | 2020-10-15 |
| 1548877574 | Rest Assured Home Care LLC | In Home Supportive Care | 222 Rivendale Dr, West Fork, AR 72774-3208 | 2020-09-24 |
| 1366058570 | Brooke Mcdowell | In Home Supportive Care | 8321 Edmar Pl, North Little Rock, AR 72117-1576 | 2020-09-22 |
| 1891312781 | Tgmae Seven Services, LLC | In Home Supportive Care | 3312 Jeridon Cv, Jonesboro, AR 72404-8196 | 2020-06-26 |
| 1467078725 | Seek Him Enterprises LLC | In Home Supportive Care | 5552 Village Dr, Benton, AR 72019-9466 | 2020-06-23 |
| 1245850023 | Diamond State Personal Care, Inc. | In Home Supportive Care | 240 Skyline Dr Ste 301, Conway, AR 72032-2810 | 2020-04-21 |
| 1326671777 | Village Angels, Inc | In Home Supportive Care | 198 Carmona Rd Ste 12, Hot Springs Village, AR 71909-2919 | 2020-02-13 |
| 1679113583 | Dm Parks Inc., Dba Comfort Keepers | In Home Supportive Care | 5068 N Arkansas Ave, Russellville, AR 72802-8325 | 2020-01-08 |
| 1285279703 | Love & Care Home Care Services LLC | In Home Supportive Care | 229 Lonsdale Cir, Jacksonville, AR 72076-6323 | 2019-11-07 |
| 1609419076 | Luvenia Blair | In Home Supportive Care | 13605 Hansfield Cir, North Little Rock, AR 72117-5366 | 2019-10-17 |
| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72715 |
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| 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.