Provider Demographics
NPI:1487952321
Name:GOOD SHEPHERD HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:GOOD SHEPHERD HEALTHCARE SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCUTCHEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-893-4700
Mailing Address - Street 1:406 BLANKENBAKER PKWY STE G
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1881
Mailing Address - Country:US
Mailing Address - Phone:502-893-4700
Mailing Address - Fax:502-893-4701
Practice Address - Street 1:406 BLANKENBAKER PKWY STE G
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1881
Practice Address - Country:US
Practice Address - Phone:502-893-4700
Practice Address - Fax:502-893-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 253Z00000X, 251J00000X
KY500129251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care