Provider Demographics
NPI:1912889114
Name:SHEPHERD AND SHEPPARD QUALITY CARE AND LOGISTICS
Entity type:Organization
Organization Name:SHEPHERD AND SHEPPARD QUALITY CARE AND LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-654-6494
Mailing Address - Street 1:100 S VERONA AVE # 282
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-3900
Mailing Address - Country:US
Mailing Address - Phone:407-785-7881
Mailing Address - Fax:
Practice Address - Street 1:68 WASHINGTON TER
Practice Address - Street 2:
Practice Address - City:FROSTPROOF
Practice Address - State:FL
Practice Address - Zip Code:33843-9625
Practice Address - Country:US
Practice Address - Phone:407-785-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)