Active NPI
Good Shepherd Home Long Term Care Facility, Inc
- Nursing Facility/Intermediate Care Facility
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 12650202
- Legal business name
- GOOD SHEPHERD HOME LONG TERM CARE FACILITY, INC
- Practice address
- 2855 Schoenersville Rd
Bethlehem, PA 18017-7306 - Phone
- (610) 807-5600
- Fax
- (610) 882-0155
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Spigel
- Title
- President/Ceo
- Phone
- (610) 776-3228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 12650202 | PA | Primary |
Addresses
Primary practice location
2855 Schoenersville Rd
Bethlehem, PA 18017-7306
Mailing address
850 S 5TH St
Good Shepherd Plaza
Allentown, PA 18103-3308
Phone (610) 778-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017915090001 | Medicaid | PA |
Other names 1
- Good Shepherd Home-Bethlehem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070118000100 | PA | Part A Provider - Skilled Nursing Facility | 4688659931 | Practice locations: Bethlehem, PA |
Skilled nursing facility certification: CCN 396108
- Legal name
- GOOD SHEPHERD HOME LONG TERM CARE FACILITY, INC
- Doing business as
- THE GOOD SHEPHERD HOME-BETHLEHEM
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2007
- Last certification
- Dec 19, 2024
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Good Shepherd Rehabilitation Network
- Organization structure
- Corporation
- Incorporated
- Sep 1, 1982 in PA
- Enrollment address
- 2855 Schoenersville Rd
Bethlehem, PA 18017-7306 - Nursing home name
- GOOD SHEPHERD HOME-BETHLEHEM
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Skilled Nursing Facility
- Allentown, PA
- NPI 1629015078
4688659931
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Good Shepherd Home-Bethlehem
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 2007
- Medicare certification status
- Active
- Certified beds
- 60
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0887589 | Good Shepherd Home Bethlehem | Certificate of waiver | Jun 14, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Good Shepherd Home Long Term Care Facility Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Allentown, PA
- NPI 1629015078
Ownership & related parties
All disclosed owners & managing parties 20
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| David Fessler | Corporate Director | Sep 27, 2017 | |
| Managing Control - Governing Body | Sep 27, 2017 | ||
| Trustee of the SNF | Sep 27, 2017 | ||
| Matthew Green | Corporate Director | Feb 28, 2024 | |
| Managing Control - Governing Body | Feb 28, 2024 | ||
| Trustee of the SNF | Feb 28, 2024 | ||
| Clinton C Holumzer | Operational/Managerial Control | Jul 1, 2004 | |
| Adp of the SNF | Jul 1, 2024 | ||
| Victor Salicetti | Corporate Director | Oct 3, 2019 | |
| Managing Control - Governing Body | Oct 3, 2019 | ||
| Trustee of the SNF | Oct 3, 2019 | ||
| David G Decampli | Corporate Director | Feb 28, 2024 | |
| Managing Control - Governing Body | Feb 28, 2024 | ||
| Trustee of the SNF | Feb 28, 2024 | ||
| Maura Topper | Corporate Officer | Sep 27, 2023 | |
| Corporate Director | Sep 27, 2023 | ||
| Managing Control - Governing Body | Sep 28, 2016 | ||
| Trustee of the SNF | Sep 28, 2016 | ||
| Mitchell G. Possinger | Corporate Director | Sep 17, 2025 | |
| Managing Control - Governing Body | Sep 17, 2025 | ||
| Trustee of the SNF | Sep 17, 2025 | ||
| Thomas Lynch | Corporate Officer | Sep 26, 2024 | |
| Corporate Director | Sep 27, 2017 | ||
| Managing Control - Governing Body | Sep 27, 2017 | ||
| Trustee of the SNF | Sep 27, 2017 | ||
| Jo-Ann Mendles | Corporate Director | Feb 28, 2024 | |
| Managing Control - Governing Body | Feb 28, 2024 | ||
| Trustee of the SNF | Feb 28, 2024 | ||
| Anne D Beste | Corporate Director | Sep 27, 2017 | |
| Managing Control - Governing Body | Sep 27, 2017 | ||
| Trustee of the SNF | Sep 27, 2017 | ||
| Buffy Bower | Operational/Managerial Control | Nov 7, 2022 | |
| Adp of the SNF | Feb 7, 2025 | ||
| Blake C Marles | Corporate Director | Feb 28, 2024 | |
| Managing Control - Governing Body | Feb 28, 2024 | ||
| Trustee of the SNF | Feb 28, 2024 | ||
| Good Shepherd Rehabilitation Network | Operational/Managerial Control | Aug 16, 1999 | |
| Indirect Ownership Interest | Aug 16, 1999 | ||
| Lori H Gustave | Corporate Director | Sep 29, 2021 | |
| Managing Control - Governing Body | Sep 29, 2021 | ||
| Trustee of the SNF | Sep 21, 2021 | ||
| Pamela Decampli | Corporate Director | Sep 27, 2017 | |
| Managing Control - Governing Body | Sep 27, 2017 | ||
| Trustee of the SNF | Sep 27, 2017 | ||
| Michael Spigel | Corporate Officer | Aug 3, 2020 | |
| Corporate Director | Aug 3, 2020 | ||
| Managing Control - Governing Body | Aug 3, 2020 | ||
| Trustee of the SNF | Aug 3, 2020 | ||
| Elsbeth Haymon | Corporate Director | Sep 29, 2021 | |
| Managing Control - Governing Body | Sep 29, 2021 | ||
| Trustee of the SNF | Sep 29, 2021 | ||
| Paul Emrick | Corporate Director | Sep 17, 2025 | |
| Managing Control - Governing Body | Sep 17, 2025 | ||
| Trustee of the SNF | Sep 17, 2025 | ||
| Eric Todd Young | Corporate Director | Jul 1, 2025 | |
| Managing Control - Governing Body | Jul 1, 2025 | ||
| Trustee of the SNF | Jul 1, 2025 | ||
| Michael Pessina | Corporate Officer | Sep 26, 2024 | |
| Corporate Director | Sep 28, 2022 | ||
| Managing Control - Governing Body | Sep 28, 2022 | ||
| Trustee of the SNF | Sep 28, 2022 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Bethlehem, PA
- NPI 1124078423
Adp of the SNF, Operational/Managerial Control
-
- Infectious Disease Physician
- Allentown, PA
- NPI 1346221975
Corporate Director, Managing Control - Governing Body, Trustee of the SNF
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Allentown, PA
- NPI 1629015078
Good Shepherd Rehabilitation Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bethlehem, PA
- NPI 1124078423
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1477591014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"address_2": "GOOD SHEPHERD PLAZA",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033308",
"telephone_number": "610-778-1044",
"fax_number": "610-776-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177306",
"telephone_number": "610-807-5600",
"fax_number": "610-882-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD HOME LONG TERM CARE FACILITY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "SPIGEL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "610-776-3228",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "PA",
"license": "12650202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017915090001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Good Shepherd Home-Bethlehem",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.