Healthcare Provider Details

I. General information

NPI: 1558984096
Provider Name (Legal Business Name): GOOD SHEPHERD SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GOOD SHEPHERD SENIOR SERVICES 1134 MURFREESBORO PIKE
NASHVILLE TN
37216
US

IV. Provider business mailing address

2908 BRANTLEY DR
ANTIOCH TN
37013-5205
US

V. Phone/Fax

Practice location:
  • Phone: 615-416-2189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VERNAL SWEETING
Title or Position: OWNER
Credential:
Phone: 615-891-2462