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	385HR2065X	Child Physical Disabilities Respite Care
2	372600000X	Adult Companion
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1649959800
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	:	615-500-1281
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	:	615-300-2848
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BELINDA ANA HERN
Credential	:
Telephone Number	:	615-500-1281

Provider Enumeration Date	:	07/14/2023
Last Update Date	:	06/22/2026

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