MEDICARE: GOOD SHEPHERD HOME CARE GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	347E00000X	Transportation Broker
2	343800000X	Secured Medical Transport (VAN)
3	347C00000X	Private Vehicle
4	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1619857364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SHEPHERD HOME CARE GROUP LLC

Provider Business Mailing Address
First Line	:	501 HARDY DR
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-4307
Country	:	US
Telephone Number	:	615-627-8815
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 HARDY DR
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-4307
Country	:	US
Telephone Number	:	931-360-4517
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BELINDA ANA HERN
Credential	:
Telephone Number	:	615-627-8815

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	02/03/2026

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