Provider Demographics
NPI:1538369640
Name:SHEPHERD CARE, INC.
Entity type:Organization
Organization Name:SHEPHERD CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BARTH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLOHAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MSW, MBA
Authorized Official - Phone:314-863-9912
Mailing Address - Street 1:200 S HANLEY RD
Mailing Address - Street 2:STE 509
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3415
Mailing Address - Country:US
Mailing Address - Phone:314-863-9912
Mailing Address - Fax:314-863-9918
Practice Address - Street 1:200 S HANLEY RD
Practice Address - Street 2:STE 509
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-3415
Practice Address - Country:US
Practice Address - Phone:314-863-9912
Practice Address - Fax:314-863-9918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty