Healthcare Provider Details

I. General information

NPI: 1972439453
Provider Name (Legal Business Name): GOOD SHEPHERD HOME CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/18/2026
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: 615-500-1281
  • Fax:
Mailing address:
  • Phone: 615-500-1281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BELINDA ANA HERN
Title or Position: CEO
Credential:
Phone: 615-500-1281