Good Shepherd Homecare & Hospice Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

A081002 Issued in KS

Legal business name

GOOD SHEPHERD HOMECARE & HOSPICE INC

Practice address

3801 Vanesta Dr
Manhattan, KS 66503-0316

Phone

(785) 537-0688

Fax

(785) 537-1309

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Christina J Nolte

Title

Executive Director

Phone

(785) 537-0688

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Home health agency certification: CCN 177064

Legal name

GOOD SHEPHERD HOMECARE & HOSPICE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 1, 1978

Last certification

Sep 12, 2019

Ownership / control type

Proprietary

Organization structure

CorporationNon-profit

Incorporated

Aug 4, 1978 in KS

Enrollment address

3801 Vanesta Dr
Manhattan, KS 66503-0316

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Good Shepherd Homecare & Hospice Inc

  • Community Based Hospice Care Agency
  • Manhattan, KS
  • NPI 1609852979

  4981654597

  Same PAC ID

Listed as

Good Shepherd Homecare and Hospice, Inc.CCN 177064

Ownership

Proprietary

Certified

Oct 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Good Shepherd Homecare Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Good Shepherd Homecare & Hospice Inc

  • Community Based Hospice Care Agency
  • Manhattan, KS
  • NPI 1609852979
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1285610139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 VANESTA DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665030316",
            "telephone_number": "785-537-0688",
            "fax_number": "785-537-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 VANESTA DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665030316",
            "telephone_number": "785-537-0688",
            "fax_number": "785-537-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOMECARE & HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "NOLTE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-537-0688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A081002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "249",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221180A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana S. Goff, LCMFT
• Daniel Lawrence Gollub, LCP
• Julia Ga Gomez
• Carl Gonzalez, LMSW
• Jeremiah Anthony Gooch, RBT
• Good Shepherd Homecare & Hospice Inc
• Milka Goodlett, PHARM. D.
• Katherine Ann Goodpasture I, D.O.
• Desia Marie Gordils, LMSW
• Sara E Gotchey, RN

• Home Health Agency in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.