Good Shepherd Village LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2793 Issued in OH

Legal business name

GOOD SHEPHERD VILLAGE LLC

Practice address

422 N Burnett Rd
Springfield, OH 45503-4821

Phone

(937) 322-1911

Fax

(937) 322-8606

NPI assigned

Mar 23, 2007

Last updated

Jan 22, 2008By 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

Mrs. Jennifer Ann Steffanni

Title

President

Phone

(937) 322-1911

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396862314. Details of each certification follow.

• CCN 366236 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 366236

Legal name

GOOD SHEPHERD VILLAGE LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 6, 2002

Last certification

May 1, 2025

Beds

81

Ownership / control type

Corporation

Multi-facility organization

AOM Healthcare

Organization structure

LLCProprietary

Incorporated

Sep 11, 2001 in OH

Enrollment address

422N Burnett Rd
Springfield, OH 45503-4821

Nursing home name

GOOD SHEPHERD VILLAGE

Affiliated entity

AOM HEALTHCARE

Listed as

Good Shepherd VillageCCN 366236 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 6, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8158.2 residents per day on average

Chain

Aom Healthcare20 facilities in the chain

Special focus status

SFF Candidate

Penalties (3 years)

1Fines totaling $0

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

Locations

All disclosed owners & managing parties 7

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

Practitioners 2

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.

• Rachel Lynn Hunter, D.O.

  • Hospitalist Physician
  • Kettering, OH
  • NPI 1851379309
  NPD (past)
• Arthur Hla Win, M.D.

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1780667444
  NPD (past)

Affiliated clinicians 1

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

• Arthur Hla Win, M.D.

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1780667444

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1396862314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455034821",
            "telephone_number": "937-322-1911",
            "fax_number": "937-322-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N BURNETT RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455034821",
            "telephone_number": "937-322-1911",
            "fax_number": "937-322-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "STEFFANNI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-322-1911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "2793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2265052",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Gladman
• Tiffany Star Glenn, LMT
• Raymar Glover
• Goes Physicians Inc
• Diana Maria Gonzales Pow Sang, LISW-S
• Lisa Good
• Dana Goodfellow
• Casey Lynn Goodridge
• Richard E Gordon Jr., MD
• Tianna Jean Gordon

• Skilled Nursing Facility in Springfield, OH
• Providers in Springfield, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.