Provider Demographics
NPI:1588157630
Name:GOOD SHEPARD STAFFING LLC
Entity type:Organization
Organization Name:GOOD SHEPARD STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:CORT
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:862-224-0127
Mailing Address - Street 1:44 DODD ST STE A
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-4640
Mailing Address - Country:US
Mailing Address - Phone:973-259-3800
Mailing Address - Fax:973-259-3871
Practice Address - Street 1:44 DODD ST STE A
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-4640
Practice Address - Country:US
Practice Address - Phone:973-259-3800
Practice Address - Fax:973-259-3871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health