GOOD SHEPHERD HOME, LTD (NPI# 1114995164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114995164 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD HOME, LTD |
| Other Organization Name | GOOD SHEPHERD REHABILITATION AGENCY |
| Practice Address |
958 Foote Street Seymour WI 54165 |
| Practice Telephone | 9208337796 |
| Practice Fax Number | 9208332220 |
| Mailing Telephone | 9208337796 |
| Mailing Fax Number | 9208332220 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | DEBORAH A CAPTAIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9208336856 |
| Authorized Official Credential | RN NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2659 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 2659 | WI | Speech, Language and Hearing Service Providers |
| Y | 225X00000X | Occupational Therapist | 2659 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41814400 | 05 |
| Other Name | Type Code |
|---|---|
| Good Shepherd Rehabilitation Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235106725 | Good Shepherd Home, Ltd | Assisted Living Facility | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2006-03-02 |
| Street Address |
958 FOOTE STREET |
| City | SEYMOUR |
| State | WI |
| Zip Code | 54165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851779789 | Kalli Vandenheuvel | Specialist/Technologist | W3068 Kortney Lane, Seymour, WI 54165 | 2015-05-12 |
| 1316110562 | Christine Sue Peterson | Occupational Therapy Assistant | W 1587 County Highway Ee, Seymour, WI 54165 | 2008-04-09 |
| 1073618849 | General Dentistry of Seymour Inc | Dentist | 344 State Hwy 54, Ste 1, Seymour, WI 54165 | 2006-09-14 |
| 1235234063 | Donald Joseph Hoff Jr. | Dentist | 344 State Highway 54, Ste 1, Seymour, WI 54165 | 2006-09-14 |
| 1871517565 | Mary Therese Leveille | Registered Nurse | 1100 Orchard St, Seymour, WI 54165 | 2006-07-26 |
| 1023125416 | Barbara A Pesola | Nurse Practitioner | 1100 Orchard Dr, Seymour, WI 54165 | 2006-08-23 |
| 1235106725 | Good Shepherd Home, Ltd | Assisted Living Facility | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2006-03-02 |
| 1043855190 | Alissa A Huff | Spec/Tech, Pathology | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2019-11-13 |
| 1508298084 | Brooke Tank | Occupational Therapy Assistant | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2013-08-06 |
| 1497046031 | Jane Murray | Physical Therapist | 607 E Bronson Rd, Seymour, WI 54165-1040 | 2011-05-01 |
| Find all providers in zip 54165 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223875 | Safe Surroundings, LLC | Occupational Therapist | 2761 County Road Ak-544a, Seymour, MO 65746-6574 | 2020-01-06 |
| 1255847851 | Erica Kelly | Occupational Therapist | 17 Sagamore Drive, Seymour, CT 06483 | 2017-12-18 |
| 1841696986 | Stephanie L Asbury | Occupational Therapist | 10721 Chapman Hwy Ste 27, Seymour, TN 37865-4767 | 2014-11-18 |
| 1487811444 | Jo Ellen Krueger | Occupational Therapist | N8568 Woodland Dr, Seymour, WI 54165-8876 | 2008-05-19 |
| 1710184700 | Jillian Nichole Roehm | Occupational Therapist | 1049 Alpine Rd, Seymour, TN 37865-6734 | 2007-07-02 |
| 1104300714 | Tammi Covert | Occupational Therapist | 411 W Tipton St, Seymour, IN 47274-2363 | 2018-09-19 |
| 1326588625 | Growing Wise Therapy Services, LLC | Occupational Therapist | 10721 Chapman Hwy Ste 27, Seymour, TN 37865-4767 | 2017-03-06 |
| 1972826857 | Julie Renee Hendrix | Occupational Therapist | 707 S Jackson Park Dr, Seymour, IN 47274-2627 | 2010-03-08 |
| 1225154040 | Janna Reed | Occupational Therapist | 321 W Bruce St Ste B, Seymour, IN 47274-2319 | 2007-03-22 |
| 1053328393 | Jessica A Durham | Occupational Therapist | 11560 Chapman Hwy, Suite 1, Seymour, TN 37865-5044 | 2006-08-01 |
| Find all providers in SEYMOUR | ||||
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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.