Thomas Herbstritt House

LBN: Good Shepherd Manor Inc
Thomas Herbstritt House is an health care organization with primary practice located at 4003 N. Routes 1 & 17 , Momence IL 60954-0260. 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. 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
4003 N. Routes 1 & 17 Momence IL 60954-0260
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 0051466 Illinois

Profile Details

NPI number 1750659199
LBN Legal business name Good Shepherd Manor Inc
DBA Doing business as Thomas Herbstritt House
Authorized official Fitzpatrick, Bruce Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2011
Last updated Dec 13th, 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.

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