Good Shepherd Home

LBN: Good Shepherd Home
Good Shepherd Home is an health care organization with primary practice located at 725 Columbus Ave , Fostoria OH 44830-3255. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Good Shepherd Home can be contacted via phone (419) 435-1801, or through Widman, Christopher P via phone (419) 937-1801.

Contact Information

Primary practice address
725 Columbus Ave Fostoria OH 44830-3255
Phone: (419) 435-1801
Fax: (419) 435-1594
Website:
Map and Directions
Authorized official contact:
Name: Widman, Christopher P
Phone: (419) 937-1801

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0982N Ohio

Profile Details

NPI number 1457453334
LBN Legal business name Good Shepherd Home
DBA Doing business as
Authorized official Widman, Christopher P
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Jun 12th, 2019 - about 7 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 1457453334 NPPES
Ohio MEDICAID 3293921

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