Healthcare Provider Details

I. General information

NPI: 1831012988
Provider Name (Legal Business Name): SHEPHERD'S HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14040 N CAVE CREEK RD UNIT 306-307
PHOENIX AZ
85022-6117
US

IV. Provider business mailing address

14040 N CAVE CREEK RD UNIT 306-307
PHOENIX AZ
85022-6117
US

V. Phone/Fax

Practice location:
  • Phone: 480-992-4165
  • Fax: 480-914-9173
Mailing address:
  • Phone: 480-992-4165
  • Fax: 480-914-9173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL C NWOKE
Title or Position: DIRECTOR
Credential:
Phone: 872-371-9249