DE GOOD SHEPHARD SENIOR LIVING
NPI 1093459372
Assisted Living Facility in Mint Hill, NC

Q: What is De Good Shephard Senior Living's NPI number?

The NPI number for De Good Shephard Senior Living is 1093459372. It was assigned to this organization in the NPPES registry on April 23, 2022. The provider is doing business as De Good Shephard Senior Living Inc..

Q: What is De Good Shephard Senior Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 23, 2022

14809 BRIDGEWATER LN, MINT HILL, NC 28227(980) 299-0010(980) 299-3006 Get Directions Write a Review

NPPES record last updated: April 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About De Good Shephard Senior Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE GOOD SHEPHARD SENIOR LIVING (NPI 1093459372), doing business as De Good Shephard Senior Living Inc., is a healthcare organization registered as an assisted living facility in Mint Hill, North Carolina and active in the NPI registry since April 2022. The organization lists Dorothy Ijeoma Ezekwe-anya, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093459372

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameDE GOOD SHEPHARD SENIOR LIVING

Location Address14809 BRIDGEWATER LNMint Hill, NC 28227-8514

Mailing Address14809 Bridgewater LnMint Hill, NC 28227-8514 · (980) 299-0010 · Fax (980) 299-3006

Phone(980) 299-0010

Fax(980) 299-3006

Organization SubpartNo

Authorized OfficialDorothy Ijeoma Ezekwe-anyaAdministrator · (170) 439-0646

Enumeration DateApril 23, 2022

NPPES CertifiedApril 22, 2022

✔ NPI 1093459372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

14809 BRIDGEWATER LN, Mint Hill, NC 28227

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Other Names 1

Doing Business AsDe Good Shephard Senior Living Inc.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is De Good Shephard Senior Living's NPI number?

The NPI number for De Good Shephard Senior Living is 1093459372. It was assigned to this organization in the NPPES registry on April 23, 2022. The provider is doing business as De Good Shephard Senior Living Inc..

Where is De Good Shephard Senior Living located?

De Good Shephard Senior Living is located at 14809 Bridgewater Ln, Mint Hill, NC 28227. The listed phone number is (980) 299-0010.

What is De Good Shephard Senior Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for De Good Shephard Senior Living was last updated on April 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.