GOOD SHEPHERD HOME, LTD (NPI# 1235106725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235106725 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD HOME, LTD |
| Practice Address |
607 E Bronson Rd Seymour WI 54165-1040 |
| Mailing Address |
607 Bronson Road Seymour WI 54165 |
| Practice Telephone | 9208336856 |
| Practice Fax Number | 9208331846 |
| Mailing Telephone | 9208336856 |
| Mailing Fax Number | 9208331846 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2013-04-25 |
| 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 | 310400000X | Assisted Living Facility | 1924 | WI | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 2659 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20108500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995164 | Good Shepherd Home, Ltd | Physical Therapist | 958 Foote Street, Seymour, WI 54165 | 2006-03-08 |
| Street Address |
607 E BRONSON RD |
| City | SEYMOUR |
| State | WI |
| Zip Code | 54165-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1114995164 | Good Shepherd Home, Ltd | Physical Therapist | 958 Foote Street, Seymour, WI 54165 | 2006-03-08 |
| 1023125416 | Barbara A Pesola | Nurse Practitioner | 1100 Orchard Dr, Seymour, WI 54165 | 2006-08-23 |
| 1154340727 | Steven D Turzinski | Family Medicine | 958 Foote St, Seymour, WI 54165-1044 | 2006-07-18 |
| 1376105387 | Heather Lynn Lensmire | Nurse Practitioner | 958 Foote St, Seymour, WI 54165-1044 | 2019-07-01 |
| 1841701893 | Heidi Louisa Gillis | Physical Therapy Assistant | 958 Foote St, Seymour, WI 54165-1044 | 2017-10-17 |
| Find all providers in zip 54165 | ||||
| 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 |
|---|---|---|---|---|
| 1609139401 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 111 Church Ave, Seymour, IN 47274-3621 | 2012-06-18 |
| 1952412546 | Jackson County Schneck Memorial Hospital | Skilled Nursing Facility | 1675 W Tipton St, Seymour, IN 47274-8659 | 2006-08-31 |
| 1093740664 | Seymour Community Care Center Inc | Skilled Nursing Facility | 400 E Four St, Seymour, IA 52590-1227 | 2006-07-12 |
| 1851333256 | Lutheran Community Home, Inc. | Skilled Nursing Facility | 111 W Church Ave, Seymour, IN 47274-3621 | 2006-06-11 |
| 1225098643 | Shady Knoll Health Center, Inc | Skilled Nursing Facility | 41 Skokorat St, Seymour, CT 06483-3826 | 2006-03-28 |
| 1225027154 | Heritage House of Seymour, Inc. | Skilled Nursing Facility | 707 S Jackson Park Dr, Seymour, IN 47274-2627 | 2005-10-13 |
| 1689660987 | N & R of Seymour, Inc. | Skilled Nursing Facility | 851 W Thoroughfare St, Seymour, MO 65746-8767 | 2005-09-22 |
| 1861486755 | Grace Care of Texas, Inc. | Skilled Nursing Facility | 1110 Westview Dr, Seymour, TX 76380-3965 | 2005-09-07 |
| 1407257520 | Seymour Health and Rehab Operations LLC | Skilled Nursing Facility | 400 E 4th St, Seymour, IA 52590-1227 | 2014-09-08 |
| 1861891186 | Baylor County Hospital District | Skilled Nursing Facility | 1110 Westview Dr, Seymour, TX 76380-3965 | 2014-08-22 |
| 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.