NPIMap

Organization Active NPI

Good Shepherd Homes, Inc.

  • Assisted Living Facility
  • Sauk Rapids, MN
National Provider Identifier
1336316611
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOOD SHEPHERD HOMES, INC.
Practice address
1211 4TH Ave N
Sauk Rapids, MN 56379-2230
Phone
(320) 252-6525
Fax
(320) 259-3463
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Krista Martini
Title
VP of Finance
Phone
(320) 252-6525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1211 4TH Ave N
Sauk Rapids, MN 56379-2230

Mailing address

1115 4TH Ave N
Sauk Rapids, MN 56379-2201
Phone (320) 252-6525

Other identifiers 1

IdentifierTypeStateIssuer
722410100MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Cottages7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1336316611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 4TH AVE N",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563792201",
            "telephone_number": "320-252-6525",
            "fax_number": "320-259-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 4TH AVE N",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563792230",
            "telephone_number": "320-252-6525",
            "fax_number": "320-259-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "320-252-6525"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722410100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.