Shepherd Care, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, ME. Organization (NPI-2).
NPI number1669932323
StatusActive
Last updated in NPPESMar 3, 2021
Details
- NPI
- 1669932323
- Entity type
- Organization (NPI-2)
- Legal business name
- Shepherd Care, LLC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2019
- Certification date
- Mar 3, 2021
- Last updated
- Mar 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – |
Practice location
75 Bishop St Ste 17Portland, ME 04103-2614
Phone 207-352-8799
Mailing address
75 Bishop St Ste 17Portland, ME 04103-2614
Phone 207-482-9531
Authorized official
Yugu Alfred Yobo
Owner
2074829531
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