GOOD SHEPHERD HOSPICE (NPI# 1992131635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992131635 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD HOSPICE |
| Other Organization Name | GOOD SHEPHERD PHYSICIANS |
| Practice Address |
110 Bi County Blvd Farmingdale NY 11735-3943 |
| Practice Telephone | 6318287415 |
| Practice Fax Number | 6318287494 |
| Mailing Telephone | 6318287415 |
| Mailing Fax Number | 6318287494 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | DR. KERRIANNE P PAGE (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6314656300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD SHEPHERD HOSPICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LH0002X |
Anesthesiology Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Good Shepherd Physicians | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264088 | Good Shepherd Hospice | Hospice Care, Community Based | 110 Bi-county Blvd., Ste. 114, Farmingdale, NY 11735 | 2005-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOOD SHEPHERD HOSPICE | 610 Nw 11th St, Hermiston, OR 97838 |
| New York State Corporations | GOOD SHEPHERD HOSPICE | 4747-20 Nesconset Highway, Port Jefferson Stat., Ny 11777 |
| Oklahoma Business Registrations | GOOD SHEPHERD HOSPICE OF COLORADO, L.L.C. | 4350 Will Rogers Parkway, Suite 400, Oklahoma City, OK 73108 |
| Oklahoma Business Registrations | GOOD SHEPHERD HOSPICE OF DALLAS, L.L.C. | 6500 N Beltline Rd, Suite 180, Irving, TX 75063 |
| Indiana Business Entities | GOOD SHEPHERD HOSPICE OF EVANSVILLE, INC. | 2015 West Franklin, Box # 1, Evansville, IN 47712 |
| Oklahoma Business Registrations | GOOD SHEPHERD HOSPICE OF HOUSTON, L.L.C. | 5455 Dashwood Ste 500, Bellaire, TX 77401 |
| Oklahoma Business Registrations | GOOD SHEPHERD HOSPICE OF SAN ANTONIO, L.L.C. | 4241 Piedras Dr Ste 171, San Antonio, TX 78228 |
| Oklahoma Business Registrations | GOOD SHEPHERD HOSPICE OF SPRINGFIELD, L.L.C. | 3250 S National Avenue, Springfield, MO 65807-7303 |
| Colorado Business Entities | GOOD SHEPHERD HOSPICE, LLC | 2932 Fenton Street, Denver, CO 80214 |
| Oklahoma Business Registrations | GOOD SHEPHERD HOSPICE, WICHITA, L.L.C. | 439 N Mclean Blvd Ste 100, Wichita, KS 67203 |
| Street Address |
110 BI COUNTY BLVD |
| City | FARMINGDALE |
| State | NY |
| Zip Code | 11735-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568544948 | Vital Care Infusion, Inc. | Durable Medical Equipment & Medical Supplies | 110 Bi County Blvd, Suite 101, Farmingdale, NY 11735-3943 | 2006-10-19 |
| 1487209854 | Kathy Natacha Davies | Physical Therapist | 110 Bi County Blvd, Farmingdale, NY 11735-3943 | 2019-08-02 |
| 1114270774 | Elizabeth M Guerrier | Nurse Practitioner | 110 Bi County Blvd, Suite 114, Farmingdale, NY 11735-3943 | 2012-10-19 |
| 1194993931 | Gina Marie Zarrilli | Internal Medicine | 110 Bi County Blvd, Suite 114, Farmingdale, NY 11735-3943 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
| 1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
| 1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
| 1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
| 1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
| 1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
| 1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
| 1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
| Find all providers in zip 11735 | ||||
| Taxonomy Code | 207LH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Hospice and Palliative Medicine |
| An anesthesiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356863088 | S M Hasnayen Medical Office Pllc | Anesthesiology | 8712 175th St # 2a, Jamaica, NY 11432-5776 | 2017-07-14 |
| 1083955744 | Angela Lauria Baumann | Anesthesiology | 5 Concourse W, Brightwaters, NY 11718-2003 | 2013-03-06 |
| 1568675965 | Ron Lev, M.d., P.C. | Anesthesiology | 150 W 56th St, Suite #4403, New York, NY 10019-3822 | 2007-05-08 |
| 1548757958 | Gerard Degregoris IIi, Md PC | Anesthesiology | 115 E 57th St Ste 610, New York, NY 10022-2129 | 2018-04-20 |
| 1629450481 | White Plains Hospital Medical Center | Anesthesiology | 41 E Post Rd, White Plains, NY 10601-4607 | 2015-06-29 |
| 1417371972 | Ny Spine and Rehab Medicine PC | Anesthesiology | 56 W 45th St, New York, NY 10036-4206 | 2014-02-04 |
| 1205182938 | Margaret Brungraber Ruttenberg | Anesthesiology | 1 Gustave L Levy Pl, Box 1070, New York, NY 10029-6574 | 2012-07-31 |
| 1447536446 | Chelsea Anesthesia, LLC | Anesthesiology | 95 University Pl, 8th Floor, New York, NY 10003-4515 | 2011-10-23 |
| 1013208602 | Mjhs Medical Associates PC | Anesthesiology | 6323 7th Ave, Brooklyn, NY 11220-4742 | 2011-04-29 |
| 1629383021 | Baraa Osama Tayeb | Anesthesiology | 1200 Waters Pl, Bronx, NY 10461-2728 | 2010-08-10 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGDALE |
| Zip Code | 11735 |
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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.