GOLDEN GOOD SHEPHERD HOME (NPI# 1134162399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134162399 |
| Entity Type | Organization |
| Organization Name | GOLDEN GOOD SHEPHERD HOME |
| Practice Address |
101 Prairie Mills Rd Golden IL 62339-1016 |
| Mailing Address |
101 Prairie Mills Road Golden IL 62339-1016 |
| Practice Telephone | 2176964421 |
| Practice Fax Number | 2176964393 |
| Mailing Telephone | 2176964421 |
| Mailing Fax Number | 2176964393 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID P STEPHENS (BOARD PRESIDENT) |
| Authorized Official Telephone | 2178425257 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0009175 | IL | Nursing & Custodial Care Facilities |
| Street Address |
101 PRAIRIE MILLS RD |
| City | GOLDEN |
| State | IL |
| Zip Code | 62339-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457546277 | Carrie R. Cook | Physical Therapist | 101 Prairie Mills Rd, Golden, IL 62339-1016 | 2007-09-14 |
| 1639364979 | Caremark Rehab, Ltd. | Occupational Therapist | 101 Prairie Mills Rd, Golden, IL 62339-1016 | 2007-09-10 |
| 1275726952 | Mark D Leverenz | Occupational Therapist | 101 Prairie Mills Rd, Golden, IL 62339-1016 | 2007-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245392349 | Blessing Hospital | Clinic/Center | 102 Praire Mills Road, Golden, IL 62339 | 2006-12-14 |
| 1922109735 | Donna Gail | Nurse Practitioner | 102 Praire Mills Road, Golden, IL 62339 | 2006-09-26 |
| 1437473394 | Lindsey Dyan Stephens | Speech-Language Pathologist | 306 W. 3rd St., Golden, IL 62339-0021 | 2010-03-22 |
| 1629099197 | Denman Country Drug | Pharmacist | 102 Prairie Mills Rd, Golden, IL 62339-0070 | 2006-07-21 |
| 1326661166 | Jacqueline Evonne Hildebrand | Behavioral Analyst | 301 Albers St, Golden, IL 62339-1006 | 2020-05-27 |
| 1083238729 | Atlas Behavior Services | Behavioral Analyst | 301 Albers St, Golden, IL 62339-1006 | 2020-05-28 |
| 1205138955 | Laura Tenhouse | Developmental Therapist | 513 Warsaw St, Golden, IL 62339-1051 | 2010-12-01 |
| 1003432964 | Tracy Lynn Kurfman | Physical Therapy Assistant | 102 Prairie Mills Rd, Golden, IL 62339-1055 | 2020-06-17 |
| 1609213206 | Patricia Ann Steffen | Nurse Practitioner | 102 Prairie Mills Rd, Golden, IL 62339-1055 | 2013-05-23 |
| 1710034954 | Holly Jo Henderson | Nurse Practitioner | 102 Prairie Mills Rd, Golden, IL 62339-1055 | 2007-01-03 |
| Find all providers in zip 62339 | ||||
| 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 |
|---|---|---|---|---|
| 1003263658 | Front Range Snf Operations, LLC | Skilled Nursing Facility | 600 Golden Ridge Road, Golden, CO 80401 | 2016-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GOLDEN GOOD SHEPHERD HOME.
| 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.