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:
Map and Directions
Authorized official contact:
Name: Fitzpatrick, Bruce Robert
Phone: (815) 472-3700

Health care specialties

SpecialtyCodeLicense #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 16 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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