Good Shepherd Lutheran Community

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

794002 Issued in NE

Legal business name

GOOD SHEPHERD LUTHERAN COMMUNITY

Practice address

2242 Wright St
Blair, NE 68008-1148

Phone

(402) 426-4663

Fax

(402) 426-1988

NPI assigned

Aug 1, 2006

Last updated

Dec 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lois Pfeiffer

Title

Ceo/Administrator

Phone

(402) 426-4663

Specialties & licenses 3

Addresses

Other names 1

• Good Shepherd Lutheran Home Former legal business name

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1043226707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 WRIGHT ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081148",
            "telephone_number": "402-426-4663",
            "fax_number": "402-426-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 WRIGHT ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081148",
            "telephone_number": "402-426-4663",
            "fax_number": "402-426-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD LUTHERAN COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "402-426-4663"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALS069",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "794002",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "794002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Lutheran Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Lynn Gilbert
• Mary Gillespie
• Pamela Gillespie
• Charles Leroy Gleeson, RP
• Good Shepherd Alf LLC
• Good Shepherd Opco LLC
• Jessica Griffith, OD
• Angelica Monique Griffiths, APRN
• Maile Gustin
• Aubrey Gutierrez

• Skilled Nursing Facility in Blair, NE
• Providers in Blair, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.