Healthcare Provider Details

I. General information

NPI: 1619857364
Provider Name (Legal Business Name): GOOD SHEPHERD HOME CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 HARDY DR
SPRINGFIELD TN
37172-4307
US

IV. Provider business mailing address

501 HARDY DR
SPRINGFIELD TN
37172-4307
US

V. Phone/Fax

Practice location:
  • Phone: 931-360-4517
  • Fax:
Mailing address:
  • Phone: 615-627-8815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: BELINDA ANA HERN
Title or Position: CEO
Credential:
Phone: 615-627-8815