Provider Demographics
NPI:1114737871
Name:SHEPHERD HEALTHCARE LIMITED
Entity type:Organization
Organization Name:SHEPHERD HEALTHCARE LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ADELEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEDEPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-295-0954
Mailing Address - Street 1:6662 96TH ST S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3959
Mailing Address - Country:US
Mailing Address - Phone:651-295-0954
Mailing Address - Fax:
Practice Address - Street 1:6662 96TH ST S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3959
Practice Address - Country:US
Practice Address - Phone:651-295-0954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care