Good Shepherd Care Center
LBN: Good Shepherd Care Center
Good Shepherd Care Center is an health care organization with primary practice located at 1101 W Clay Rd , Versailles MO 65084-9314. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Good Shepherd Care Center can be contacted via phone (573) 378-5411, or through Mathiot, Rebecca May via phone (573) 378-5411.
Contact Information
Primary practice address
1101 W Clay Rd
Versailles MO 65084-9314
Phone: (573) 378-5411
Fax: (573) 378-5415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 031255 | Missouri |
Profile Details
| NPI number | 1811905904 |
|---|---|
| LBN Legal business name | Good Shepherd Care Center |
| DBA Doing business as | |
| Authorized official | Mathiot, Rebecca May |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Dec 6th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811905904 | NPPES |
| Missouri | MEDICAID | 101487502 | |
| Missouri | Other | 124739 | |
| Missouri | Other | 110693 |
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