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

Good Shepherd Assisted Living Facility of Brandon LLC

Organization Assisted Living Facility · NPI 1013274091

Good Shepherd Assisted Living Facility of Brandon LLC is an Assisted Living Facility in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1801 Lido Dr
Brandon, FL 33511
Phone: (813) 684-4989
Fax: (813) 684-4989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL9000 (FL)

Record details

NPI number1013274091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thelma Managad — Administrator · (813) 494-2326
NPI enumeratedApril 16, 2012
Last updated in NPPESApril 16, 2012
Mailing address1801 Lido Drive, Brandon, FL 33511

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