Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De Good Shephard Senior Living

Organization Assisted Living Facility · NPI 1093459372

De Good Shephard Senior Living is an Assisted Living Facility in Mint Hill, North Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

14809 Bridgewater Ln
Mint Hill, NC 28227-8514
Phone: (980) 299-0010
Fax: (980) 299-3006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1093459372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dorothy Ezekwe-Anya — Administrator · (170) 439-0646
Other names De Good Shephard Senior Living Inc.
NPI enumeratedApril 23, 2022
Last updated in NPPESApril 23, 2022
Certification dateApril 22, 2022
Mailing address14809 Bridgewater Ln, Mint Hill, NC 28227-8514

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