NPIMap

Organization Active NPI

Good Shepherd Home

Doing business as Good Shepherd Home Community Services

  • In Home Supportive Care Agency
  • Fostoria, OH
National Provider Identifier
1134725419
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOOD SHEPHERD HOME
Doing business as
Good Shepherd Home Community Services
Practice address
725 Columbus Ave
Fostoria, OH 44830-3255
Phone
(419) 937-1801
Fax
(419) 937-9324
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
0982NAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Carol Jenot
Title
Accounting
Phone
(419) 937-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

725 Columbus Ave
Fostoria, OH 44830-3255

Mailing address

725 Columbus Ave
Fostoria, OH 44830-3255
Phone (419) 937-1801

Other identifiers 1

IdentifierTypeStateIssuer
0114928MedicaidOH

Other names 1

  • Good Shepherd Home Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Home3 organizations share this tax ID, including this one
Part of
Good Shepherd Home

Other organizations with this tax ID 2

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": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1134725419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 COLUMBUS AVE",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448303255",
            "telephone_number": "419-937-1801",
            "fax_number": "419-937-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 COLUMBUS AVE",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448303255",
            "telephone_number": "419-937-1801",
            "fax_number": "419-937-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "0982N",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "JENOT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "419-937-1801"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Home Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fostoria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.