Provider Demographics
NPI:1942653928
Name:HOSPICE CARE GOOD SHEPHERD, LLC
Entity Type:Organization
Organization Name:HOSPICE CARE GOOD SHEPHERD, LLC
Other - Org Name:GOOD SHEPHERD HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-532-6584
Mailing Address - Street 1:7938 MILE 17 N
Mailing Address - Street 2:
Mailing Address - City:EDCOUCH
Mailing Address - State:TX
Mailing Address - Zip Code:78538-2096
Mailing Address - Country:US
Mailing Address - Phone:956-532-6584
Mailing Address - Fax:956-513-0290
Practice Address - Street 1:7938 MILE 17 N
Practice Address - Street 2:
Practice Address - City:EDCOUCH
Practice Address - State:TX
Practice Address - Zip Code:78538-2096
Practice Address - Country:US
Practice Address - Phone:956-532-6584
Practice Address - Fax:956-513-0290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based