Lutheran Home of the Good Shepherd, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1043A Issued in ND

Legal business name

LUTHERAN HOME OF THE GOOD SHEPHERD, INC.

Practice address

1226 1St Ave N
New Rockford, ND 58356-1415

Phone

(701) 947-2944

Fax

(701) 947-2273

NPI assigned

Nov 17, 2005

Last updated

Oct 9, 2025By 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

Ms. Kim Droske, HSE

Title

Administrator, Ceo

Phone

(701) 947-2944

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396727004. Details of each certification follow.

• CCN 355041 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 355041

Legal name

LUTHERAN HOME OF THE GOOD SHEPHERD INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1978

Last certification

Jul 10, 2024

Beds

51

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

1226 1St Ave N
New Rockford, ND 58356-1415

Nursing home name

LUTHERAN HOME OF THE GOOD SHEPHERD

Listed as

Lutheran Home of the Good ShepherdCCN 355041 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

May 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5146.6 residents per day on average

Penalties (3 years)

3Fines totaling $31,829

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 16

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Page, MD

  • Family Medicine Physician
  • Carrington, ND
  • NPI 1487631032
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael J Page, MD

  • Family Medicine Physician
  • Carrington, ND
  • NPI 1487631032

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1396727004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 1ST AVE N",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561415",
            "telephone_number": "701-947-2944",
            "fax_number": "701-947-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 1ST AVE N",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561415",
            "telephone_number": "701-947-2944",
            "fax_number": "701-947-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HOME OF THE GOOD SHEPHERD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "DROSKE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "701-947-2944",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1043A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.