Good Shepherd Manor Groups Homes, Inc

LBN: Good Shepherd Manor Groups Homes, Inc
Good Shepherd Manor Groups Homes, Inc is an health care organization with primary practice located at 4129 N State Routes 1 & 17 , Momence IL 60954. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Good Shepherd Manor Groups Homes, Inc can be contacted via phone (815) 472-3700, or through Fitzpatrick, Bruce Robert via phone (815) 472-3700.

Contact Information

Primary practice address
4129 N State Routes 1 & 17 Momence IL 60954
Phone: (815) 472-3700
Fax: (815) 472-6086
Website:
Map and Directions
Authorized official contact:
Name: Fitzpatrick, Bruce Robert
Phone: (815) 472-3700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0041913 Illinois
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 41905 Illinois
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 96S015 Illinois

Profile Details

NPI number 1689998700
LBN Legal business name Good Shepherd Manor Groups Homes, Inc
DBA Doing business as
Authorized official Fitzpatrick, Bruce Robert
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2010
Last updated Mar 18th, 2010 - about 14 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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