Good Shepherd Lutheran Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0033469 Issued in MN

Legal business name

GOOD SHEPHERD LUTHERAN HOME

Practice address

800 Home St
Rushford, MN 55971-8836

Phone

(507) 864-7714

Fax

(507) 864-2842

NPI assigned

Jun 20, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rhonda Spece

Title

Accounting Service Director

Phone

(507) 864-7714

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Skilled nursing facility certification: CCN 245393

Legal name

GOOD SHEPHERD LUTHERAN HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1986

Last certification

Mar 12, 2025

Beds

65

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Incorporated

Dec 1, 1986 in MN

Enrollment address

800 Home St
Rushford, MN 55971-8836

Nursing home name

GOOD SHEPHERD LUTHERAN HOME

Listed as

Good Shepherd Lutheran HomeCCN 245393

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Dec 1, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6550.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nicholas John Modjeski, MD

  • Family Medicine Physician
  • Winona, MN
  • NPI 1912933516

  Adp of the SNF

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas John Modjeski, MD

  • Family Medicine Physician
  • Winona, MN
  • NPI 1912933516
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nicholas John Modjeski, MD

  • Family Medicine Physician
  • Winona, MN
  • NPI 1912933516

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003811571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "RUSHFORD",
            "state": "MN",
            "postal_code": "559710747",
            "telephone_number": "507-864-7714",
            "fax_number": "507-864-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOME ST",
            "city": "RUSHFORD",
            "state": "MN",
            "postal_code": "559718836",
            "telephone_number": "507-864-7714",
            "fax_number": "507-864-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD LUTHERAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPECE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ACCOUNTING SERVICE DIRECTOR",
        "authorized_official_telephone_number": "507-864-7714"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "0033469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MN",
            "identifier": "NH0287",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHEILD",
            "identifier": "S5744",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHEILD",
            "identifier": "4657G0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Charles, RPH
• City of Rushford
• Marla Fleming, PHARM.D.
• Brianna Lynn Frisch, DPT
• Gregory David Glinski
• Katie Marie Halder, RN, CNP
• David Gerhard Hinz, D.C.
• Gary Marcoux, D.D.S.
• Diane Beth Montgomery, PT
• Jan Alvin Nelson, RPH

• Skilled Nursing Facility in Rushford, MN
• Providers in Rushford, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.