THE GOOD SHEPHERD HOME FOR THE AGED (NPI# 1487653457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653457 |
| Entity Type | Organization |
| Organization Name | THE GOOD SHEPHERD HOME FOR THE AGED |
| Practice Address |
622 Center St Ashland OH 44805-3343 |
| Practice Telephone | 4192893523 |
| Practice Fax Number | 4192810656 |
| Mailing Telephone | 4192893523 |
| Mailing Fax Number | 4192810656 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS JAMES STOFAC (PRESIDENT & CEO) |
| Authorized Official Telephone | 6142285200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 000472N | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0025850 | 05 |
| Street Address |
622 CENTER ST |
| City | ASHLAND |
| State | OH |
| Zip Code | 44805-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023557022 | Richard Storrow | Specialist | 622 Center St, Ashland, OH 44805-3343 | 2017-02-23 |
| 1285177444 | Amber Irwin | Specialist | 622 Center St, Ashland, OH 44805-3343 | 2016-11-21 |
| 1184027120 | Melissa Humphrey | Speech-Language Pathologist | 622 Center St, Ashland, OH 44805-3343 | 2014-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1417421488 | Professional Dental Alliance of Ashland, LLC | Dentist | 1860 East Main St., Ashland, OH 44805 | 2019-01-14 |
| 1881164473 | Destiny Dawn Williams | Student in an Organized Health Care Education/Training Program | 1115 Union Street, Ashland, OH 44805 | 2018-11-27 |
| 1992273106 | Marc Schaffer | Occupational Therapist | Kingston of Ashland, 20 Amberwood Parkway, Ashland, OH 44805 | 2018-11-06 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1588171847 | Belinda Foster | Pharmacist | 419 Claremont Ave, Ashland, OH 44805 | 2018-01-08 |
| 1851816649 | Heather Donnenwirth | Social Worker | 1763 St. Rt 60, Suite 120, Ashland, OH 44805 | 2017-08-14 |
| 1619498722 | Stephanie Darm | Speech-Language Pathologist | 1407 Claremont Ave, Ashland, OH 44805 | 2017-06-28 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| Find all providers in zip 44805 | ||||
| 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 |
|---|---|---|---|---|
| 1861865065 | Waterview Lodge LLC | Skilled Nursing Facility | 250 W Union St, Ashland, MA 01721-1420 | 2015-11-10 |
| 1245351667 | Ssc Ashland Operating Company LLC | Skilled Nursing Facility | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2007-04-03 |
| 1609822089 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 1700 Furnas Street, Ashland, NE 68003-1254 | 2006-05-26 |
| 1003866757 | Ggnsc Ashland LLC | Skilled Nursing Facility | 911 3rd St W, Ashland, WI 54806-1311 | 2006-05-11 |
| 1609855154 | Vanguard of Ashland, LLC | Skilled Nursing Facility | 16056 Boundary Dr, Ashland, MS 38603 | 2006-01-12 |
| 1285623892 | Woodland Oaks Manor LLC | Skilled Nursing Facility | 1820 Oakview Rd, Ashland, KY 41101-3677 | 2005-10-17 |
| 1174511398 | Diversicare Leasing Corp. | Skilled Nursing Facility | 12800 Princeland Dr, Ashland, KY 41102-9681 | 2005-10-11 |
| 1659368884 | Kingston of Ashland, LLC | Skilled Nursing Facility | 20 Amberwood Pkwy, Ashland, OH 44805-9765 | 2005-10-03 |
| 1679569909 | Care Center (linda Vista) Inc | Skilled Nursing Facility | 135 Maple St, Ashland, OR 97520-1514 | 2005-09-22 |
| 1952397366 | Ashland Nursing & Rehab LLC | Skilled Nursing Facility | 300 S Henry Clay Blvd, Ashland, MO 65010-9438 | 2005-09-21 |
| Find all providers in ASHLAND | ||||
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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.