| Organization Name: | GOOD SHEPHERD IN-HOME SENIOR CARE |
| NPI Number: | 1649605437 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHIP A BROWN (OWNER) |
| Mailing Address: | 1801 Forest Hills Blvd 133 Bella Vista |
| State: | AR US |
| Postal Code: | 727153016 |
| Phone Number: | 4792481475 |
| Fax Number: | 4792037289 |
| NPI Enumeration Date: | 09/11/2013 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 811006810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |