GOOD SHEPHERD FAMILY CARE HOME, LLC (NPI# 1841470986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841470986 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD FAMILY CARE HOME, LLC |
| Practice Address |
2810 Fleming Road Greensboro NC 27410 |
| Mailing Address |
3592 Hancock Dr Greensboro NC 27410-9157 |
| Practice Telephone | 3366440752 |
| Practice Fax Number | 3366439731 |
| Mailing Telephone | 3366440752 |
| Mailing Fax Number | 3366439731 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-12-30 |
| Authorized Official Name | MRS. ARLENE TOMAS BALASSU-PASCUA (MANAGER) |
| Authorized Official Telephone | 3366440752 |
| Authorized Official Credential | BSN, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-041-754 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805363 | 05 |
| Street Address |
2810 FLEMING ROAD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| 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 |
|---|---|---|---|---|
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1760905178 | Changing Lives Group Home Iv, LLC | Custodial Care Facility | 1404 Cushing St, Greensboro, NC 27405-3300 | 2017-07-18 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1104222066 | A Touch From The Heart | Custodial Care Facility | 5212 Carolwood Dr, Greensboro, NC 27407-2823 | 2014-11-05 |
| 1780019513 | Burton's Home Healthcare | Custodial Care Facility | 3924 S Holden Rd Ste E, Greensboro, NC 27406-8866 | 2013-09-11 |
| 1700169695 | Positive Connection Care, Inc. | Custodial Care Facility | 612 Pasteur Dr Ste 203, Greensboro, NC 27403-1120 | 2011-09-27 |
| 1104057561 | A Better Life Christian Family Care, LLC | Custodial Care Facility | 1030 Alamance Ct, Greensboro, NC 27406-3806 | 2009-08-04 |
| 1982882627 | Umar Services, Inc | Custodial Care Facility | 1801 Westridge Rd, Greensboro, NC 27410-2423 | 2008-02-05 |
| 1750569414 | Umar Services, Inc | Custodial Care Facility | 722 Muirs Chapel Rd, Greensboro, NC 27410-4227 | 2008-02-05 |
| 1760670574 | Haven Group Homes | Custodial Care Facility | 3207 O' Henry Blvd N, Greensboro, NC 27405-3807 | 2007-10-05 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on GOOD SHEPHERD FAMILY CARE HOME, 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.