Provider Demographics
NPI:1619857364
Name:GOOD SHEPHERD HOME GROUP LLC
Entity type:Organization
Organization Name:GOOD SHEPHERD HOME GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:ANA
Authorized Official - Last Name:HERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-627-8815
Mailing Address - Street 1:501 HARDY DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-4307
Mailing Address - Country:US
Mailing Address - Phone:615-627-8815
Mailing Address - Fax:
Practice Address - Street 1:501 HARDY DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-4307
Practice Address - Country:US
Practice Address - Phone:931-360-4517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker