DE GOOD SHEPHARD SENIOR LIVING NPI 1093459372

NPI Information

  • NPI: 1093459372
  • Provider Name: DE GOOD SHEPHARD SENIOR LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 14809 BRIDGEWATER LN
    MINT HILL, NC
    ZIP 28227
  • Phone: (980) 299-0010

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NPI Details

DE GOOD SHEPHARD SENIOR LIVING is an assisted living facility in Mint Hill, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DE GOOD SHEPHARD SENIOR LIVING NPI is 1093459372. The provider is registered as an organization entity type.

The provider's business location address is:

14809 BRIDGEWATER LN
MINT HILL, NC
ZIP 28227-514
Phone: (980) 299-0010
Fax: (980) 299-3006

The provider's authorized official is Dorothy Ijeoma Ezekwe-anya .
The authorized official title is Administrator and has the following contact phone number (170) 439-0646.

The enumeration date for this NPI number is 4/23/2022 and was last updated on 4/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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