NPIMap

Organization Active NPI

Good Shepherd Geriatric Center Inc

Doing business as Shepherd's Glen

  • Assisted Living Facility
  • Mason City, IA
National Provider Identifier
1013896653
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOOD SHEPHERD GERIATRIC CENTER INC
Doing business as
Shepherd's Glen
Practice address
222 S Pierce Ave
Mason City, IA 50401-2748
Phone
(641) 513-8222
NPI assigned
Aug 28, 2025
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD SHEPHERD GERIATRIC CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Michelle Horst
Title
Controller
Phone
(641) 424-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

222 S Pierce Ave
Mason City, IA 50401-2748

Mailing address

302 2ND St NE
Mason City, IA 50401-3412
Phone (641) 450-5095

Other names 1

  • Shepherd's Glen Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2323944Shepherd's Glen222 S Pierce Ave, Mason City, IA 50401Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Geriatric Center Inc10 organizations share this tax ID, including this one
Part of
Good Shepherd Geriatric Center Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1013896653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 2ND ST NE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013412",
            "telephone_number": "641-450-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S PIERCE AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012748",
            "telephone_number": "641-513-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD GERIATRIC CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD GERIATRIC CENTER INC",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "HORST",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "641-424-1740"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd's Glen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.