Good Shepherd Manor, Inc
LBN: Good Shepherd Manor, Inc
Good Shepherd Manor, Inc is an health care organization with primary practice located at 4129 N State Routes 1 & 17 , Momence IL 60954-0260. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Adult Care Home. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Good Shepherd Manor, 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 60954-0260
Phone: (815) 472-3700
Fax: (815) 472-6086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 6-374 | Illinois |
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 0002865 | Illinois |
Profile Details
| NPI number | 1700100971 |
|---|---|
| LBN Legal business name | Good Shepherd Manor, Inc |
| DBA Doing business as | |
| Authorized official | Fitzpatrick, Bruce Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 17th, 2010 |
| Last updated | Mar 17th, 2010 - 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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