Good Shepherd Rehab Inc.

LBN: Good Shepherd Rehab Inc.
Good Shepherd Rehab Inc. is an health care organization with primary practice located at 4275 Burnham Ave Ste 255 , Las Vegas NV 89119-8204. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Good Shepherd Rehab Inc. can be contacted via phone (702) 380-1060, or through Abejuela, Raul via phone (702) 893-3333.

Contact Information

Primary practice address
4275 Burnham Ave Ste 255 Las Vegas NV 89119-8204
Phone: (702) 380-1060
Fax: (702) 380-1081
Website:
Map and Directions
Authorized official contact:
Name: Abejuela, Raul
Phone: (702) 893-3333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 20071354581 Nevada

Profile Details

NPI number 1386933315
LBN Legal business name Good Shepherd Rehab Inc.
DBA Doing business as
Authorized official Abejuela, Raul
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2011
Last updated Mar 30th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386933315 NPPES
Nevada MEDICAID 001702161

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