Good Shepherd Pediatric Therapy Services
LBN: Good Shepherd School For Children
Good Shepherd Pediatric Therapy Services is an health care organization with primary practice located at 1170 Timber Run Dr , Saint Louis MO 63146-4482. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Customized Equipment is the primary health care specialty.
Good Shepherd School For Children can be contacted via phone (314) 469-0606, or through Rose, Elizabeth A via phone (314) 469-0606.
Contact Information
Primary practice address
1170 Timber Run Dr
Saint Louis MO 63146-4482
Phone: (314) 469-0606
Fax: (314) 469-3294
Website:
Authorized official contact:
Name: Rose, Elizabeth A Licensed Clinical Social Worker (LCSW)
Phone: (314) 469-0606
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1083735138 |
|---|---|
| LBN Legal business name | Good Shepherd School For Children |
| DBA Doing business as | Good Shepherd Pediatric Therapy Services |
| Authorized official | Rose, Elizabeth A Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Dec 2nd, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083735138 | NPPES |
| Missouri | MEDICAID | 623876406 |
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