LUTHERAN HOME OF THE GOOD SHEPHERD (NPI# 1396727004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396727004 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HOME OF THE GOOD SHEPHERD |
| Practice Address |
1226 1st Ave N New Rockford ND 58356-1415 |
| Practice Telephone | 7019472944 |
| Practice Fax Number | 7019472273 |
| Mailing Telephone | 7019472944 |
| Mailing Fax Number | 7019472273 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | MRS. ELOISE GUTZKE (ADMINISTRATOR, CEO) |
| Authorized Official Telephone | 7019472944 |
| Authorized Official Credential | NHAL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | ND | Nursing & Custodial Care Facilities | |
| N | 311500000X | Alzheimer Center (Dementia Center) | ND | Nursing & Custodial Care Facilities | |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
ND | Nursing & Custodial Care Facilities | |
| Y | 314000000X | Skilled Nursing Facility | 1043A | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 030029 | 05 | |
| ND | BLUE CROSS | 1123 | 01 |
| WORK FORCE SAFETY | 569350 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN HOME OF THE GOOD SHEPHERD | 1226 1st Ave N, New Rockford, ND 58356-1415 |
| New York State Corporations | LUTHERAN HOME OF THE GOOD SHEPHERD | Route 31, Savannah, Ny 13146 |
| Street Address |
1226 1ST AVE N |
| City | NEW ROCKFORD |
| State | ND |
| Zip Code | 58356-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527322 | 4th Corporaiton | Community/Behavioral Health | 1006 2nd Avenue North, New Rockford, ND 58356 | 2020-10-27 |
| 1295335495 | 4th Corporaiton | Community/Behavioral Health | 120 11th Street North, New Rockford, ND 58356 | 2020-10-27 |
| 1801811666 | Carrington Health Center | Family Medicine | 118 1st St S, New Rockford, ND 58356 | 2006-07-13 |
| 1740347764 | 4th Corporaiton | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2007-01-02 |
| 1750559035 | 4th Corporation | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2008-02-20 |
| 1669640942 | 4th Corporation | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2008-02-20 |
| 1659340214 | Michelle Moen | Occupational Therapist | 215 13th St N, New Rockford, ND 58356-1442 | 2006-03-16 |
| 1053555680 | Brita Lynn Duval | Specialist | 220 8th St N, New Rockford, ND 58356-1509 | 2009-04-27 |
| 1770824492 | Community Ambulance Service of New Rockford | Ambulance | 818 1st Ave N, New Rockford, ND 58356-1511 | 2013-03-05 |
| 1154333730 | Central Pharmacy Inc | Pharmacy | 4 8th St N, New Rockford, ND 58356-1518 | 2006-08-12 |
| Find all providers in zip 58356 | ||||
| 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 |
|---|---|---|---|---|
| 1760033997 | Oluwakemi Isokpan | Skilled Nursing Facility | 1323 Legion Ln W, West Fargo, ND 58078-8523 | 2019-09-29 |
| 1164809562 | Eventide Fargo LLC | Skilled Nursing Facility | 3225 51st St S, Fargo, ND 58104-7180 | 2015-05-05 |
| 1841691789 | Tufte Manor | Skilled Nursing Facility | 3300 Cherry St, Grand Forks, ND 58201-7634 | 2014-09-10 |
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1427371889 | Benedictine Living Communities-bismarck, Inc. | Skilled Nursing Facility | 4580 Coleman Street, Bismarck, ND 58503-0347 | 2010-03-12 |
| 1508197013 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 301 Lorrain Dr, Bismarck, ND 58503-0311 | 2010-01-22 |
| 1144485608 | Villa Maria | Skilled Nursing Facility | 3102 University Dr S, Fargo, ND 58103-6004 | 2008-07-24 |
| 1477737625 | Pat Sitzer | Skilled Nursing Facility | 751 1st St., Pat Sizer, Minto, ND 58261 | 2007-12-24 |
| 1205041985 | Benedictine Living Center of Garrison | Skilled Nursing Facility | 609 Fourth Ave Ne, Garrison, ND 58540-0219 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW ROCKFORD |
| Zip Code | 58356 |
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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.