Good Shepherd Manor

LBN: Friends Of Good Shepherd Manor
Good Shepherd Manor is an health care organization with primary practice located at 374 Good Manor Rd. , Lucasville OH 45648. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Friends Of Good Shepherd Manor can be contacted via phone (187) 788-5286, or through Phipps, Dave via phone (877) 885-2861.

Contact Information

Primary practice address
374 Good Manor Rd. Lucasville OH 45648
Phone: (187) 788-5286
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phipps, Dave
Phone: (877) 885-2861

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1275704546
LBN Legal business name Friends Of Good Shepherd Manor
DBA Doing business as Good Shepherd Manor
Authorized official Phipps, Dave
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2008
Last updated Feb 4th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275704546 NPPES
Ohio MEDICAID 0850477

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