SHEPHERD MANOR HOSPICELLC (NPI# 1528276276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528276276 |
| Entity Type | Organization |
| Organization Name | SHEPHERD MANOR HOSPICELLC |
| Practice Address |
13017 Artesia Blvd Suite 120d Cerritos CA 90703-1364 |
| Mailing Address |
15522 Wilder Ave Norwalk CA 90650-7345 |
| Practice Telephone | 5629004563 |
| Mailing Telephone | 5629004563 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | DR. BRENDA SHEPPARDJOHNSON (MANAGERMEMBER) |
| Authorized Official Telephone | 5629004563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
13017 ARTESIA BLVD SUITE 120D |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790139491 | Shane Banks | Behavioral Analyst | 13017 Artesia Blvd, D134, Cerritos, CA 90703-1364 | 2016-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353817 | Spring Hope Hospice, Inc. | Hospice Care, Community Based | 17326 Edwards Rd Ste A225, Cerritos, CA 90703-2443 | 2020-10-16 |
| 1376176008 | Hospice of The East and Palliative Care Inc | Hospice Care, Community Based | 11911 Artesia Blvd Ste 206a, Cerritos, CA 90701-4060 | 2020-02-21 |
| 1700281102 | Unitedcare Hospice, Inc. | Hospice Care, Community Based | 11080 Artesia Blvd Ste D, Cerritos, CA 90703-2544 | 2014-10-28 |
| 1518308071 | Serenity Hospice Group Inc | Hospice Care, Community Based | 17100 Norwalk Blvd Ste 110, Cerritos, CA 90703-2750 | 2013-07-12 |
| 1760725568 | Absolute Hospice & Palliative Care Inc | Hospice Care, Community Based | 17215 Studebaker Rd Ste 215, Cerritos, CA 90703 | 2013-03-29 |
| 1730406745 | Monarch Hospice, Inc. | Hospice Care, Community Based | 19615 Nicholas Ave, Cerritos, CA 90703-7432 | 2010-04-29 |
| 1265614044 | Angel City Hospice Care, Inc. | Hospice Care, Community Based | 17777 Center Court Dr N, Suite 250, Cerritos, CA 90703-9320 | 2007-12-03 |
| 1922215425 | East West Hospice Care Inc | Hospice Care, Community Based | 16435 Berwyn Rd, Cerritos, CA 90703-2440 | 2007-05-16 |
| 1477623460 | Nurses Plus Hospice, Inc. | Hospice Care, Community Based | 11100 E. Artesia Blvd, Suite G, Cerritos, CA 90703-2542 | 2006-11-08 |
| 1851820732 | Golden Diamond Hospice, Inc | Hospice Care, Community Based | 11385 183rd St, Cerritos, CA 90703-5434 | 2017-06-05 |
| Find all providers in CERRITOS | ||||
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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.