GENTLE SHEPHERD HOSPICE INC. (NPI# 1346208337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346208337 |
| Entity Type | Organization |
| Organization Name | GENTLE SHEPHERD HOSPICE INC. |
| Practice Address |
6045 Peters Creek Rd Roanoke VA 24019-4029 |
| Practice Telephone | 5409896265 |
| Practice Fax Number | 5409891547 |
| Mailing Telephone | 5409896265 |
| Mailing Fax Number | 5409891547 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD ECKENROTH III (PRESIDENT) |
| Authorized Official Telephone | 5409896265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSP-0618 | VA | Agencies |
| Street Address |
6045 PETERS CREEK RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346788056 | Kim Eckenroth | Nurse Practitioner | 6045 Peters Creek Rd, Roanoke, VA 24019-4029 | 2017-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1487104428 | Intrepid of Piedmont Ridge, Inc. | Hospice Care, Community Based | 4005 Electric Rd Ste 200, Roanoke, VA 24018-8435 | 2016-10-13 |
| 1205119542 | Cinta Healthcare LLC | Hospice Care, Community Based | 3241 Electric Rd Bldg D, Roanoke, VA 24018-6405 | 2011-09-22 |
| 1902848443 | Southerncare, Inc. | Hospice Care, Community Based | 5330 Peters Creek Road Nw, Suite D-1, Roanoke, VA 24019-3853 | 2006-06-11 |
| 1710925227 | Countryside Hospice Care Inc | Hospice Care, Community Based | 3355 Highway 431, Suite 3, Roanoke, AL 36274-2723 | 2006-06-04 |
| 1104879881 | Medi Home Health Agency, Inc | Hospice Care, Community Based | 4419 Pheasant Ridge Rd Ste 201, Roanoke, VA 24014-5282 | 2006-05-17 |
| 1174581466 | Adventa Hospice, LLC | Hospice Care, Community Based | 5221 Valleypark Dr, Suite 2, Roanoke, VA 24019-3004 | 2006-05-03 |
| 1104882778 | Faith Homecare, Inc. | Hospice Care, Community Based | 60008 Highway 22, Roanoke, AL 36274-2419 | 2006-04-24 |
| 1477546844 | Carilion Medical Center | Hospice Care, Community Based | 1917 Franklin Rd Sw, Suite B, Roanoke, VA 24014-1103 | 2005-08-31 |
| 1548268923 | Good Samaritan Hospice, Inc. | Hospice Care, Community Based | 2408 Electric Rd, Roanoke, VA 24018-3523 | 2005-07-11 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.