GOOD SHEPHERD CARE CENTER INC (NPI# 1033107412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033107412 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD CARE CENTER INC |
| Practice Address |
324 Johnson Pkwy Saint Paul MN 55106-6412 |
| Practice Telephone | 6517933232 |
| Practice Fax Number | 6517749641 |
| Mailing Telephone | 6517933232 |
| Mailing Fax Number | 6517749641 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY A ROY (ADMINISTRATOR CEO) |
| Authorized Official Telephone | 6517933241 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 326973 | MN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649570367 | Good Shepherd Care Center Inc | Social Worker | 2503h S Main/us 90, Stafford, TX 77477-6337 | 2010-10-28 |
| Street Address |
324 JOHNSON PKWY |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-6412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780801134 | Patricia K. Williams | Speech-Language Pathologist | 324 Johnson Pkwy, Saint Paul, MN 55106-6412 | 2007-04-19 |
| 1558587063 | Jennifer Kathleen Matthews | Occupational Therapist | 324 Johnson Pkwy, Saint Paul, MN 55106-6412 | 2007-04-17 |
| 1740405638 | Karen G May | Occupational Therapist | 324 Johnson Pkwy, Saint Paul, MN 55106-6412 | 2007-04-16 |
| 1992920011 | Donna Jean Valdez | Physical Therapist | 324 Johnson Pkwy, Saint Paul, MN 55106-6412 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104236512 | Episcopal Homes On University Avenue, LLC | Skilled Nursing Facility | 1860 University Ave W, Saint Paul, MN 55104-3402 | 2014-05-07 |
| 1427183961 | Senior Care Woodbury, LLC | Skilled Nursing Facility | 7012 Lake Rd, Saint Paul, MN 55125-2433 | 2007-02-23 |
| 1992866032 | Voa Care Centers, Minnesota | Skilled Nursing Facility | 1900 Sherren Ave E, Saint Paul, MN 55109-2803 | 2006-12-13 |
| 1295806990 | Extendicare Homes, Inc. | Skilled Nursing Facility | 445 Galtier St, Saint Paul, MN 55103-2358 | 2006-11-13 |
| 1457460230 | Heritage of St Paul, Inc | Skilled Nursing Facility | 1405 Heritage Dr, Saint Paul, NE 68873-3618 | 2006-08-29 |
| 1578578134 | Lyngblomsten Care Center, Inc. | Skilled Nursing Facility | 1415 Almond Ave, Saint Paul, MN 55108-2507 | 2006-07-30 |
| 1871511790 | Highland Chateau Suites, LLC | Skilled Nursing Facility | 2319 7th St W, Saint Paul, MN 55116-2813 | 2006-07-18 |
| 1134159452 | Prairie Mission Retirement Village | Skilled Nursing Facility | 242 Carroll St, Saint Paul, KS 66771-4044 | 2006-07-03 |
| 1699726901 | Ggnsc St. Paul Lynnhurst LLC | Skilled Nursing Facility | 471 Lynnhurst Ave W, Saint Paul, MN 55104-3408 | 2006-05-12 |
| 1013979319 | Franciscan Health Community | Skilled Nursing Facility | 1925 Norfolk Ave, Saint Paul, MN 55116-2667 | 2006-04-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.