Good Shepherd Nursing Home LC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GOOD SHEPHERD NURSING HOME LC

Practice address

159 Edgington LN
Wheeling, WV 26003-1542

Phone

(304) 242-1093

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Morgan Murphy

Title

Regulatory Compliance Officer

Phone

(304) 242-1093

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Good Shepherd Nursing Home2 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 Nursing Home LC

  • Skilled Nursing Facility
  • Wheeling, WV
  • NPI 1851388722
  NPD tax ID

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1609416346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 EDGINGTON LN",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 EDGINGTON LN",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031542",
            "telephone_number": "304-242-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD NURSING HOME LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "REGULATORY COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "304-242-1093"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515038",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Taylor Gompers, FNP-BC
• Matthew Gompers
• Sarah Gompers
• Victoria Ann Gompers
• Christopher Michael Gooch, DO
• Good Shepherd Nursing Home LC
• Mark E Goode, PT
• Goodwin Foot & Ankle Center PLLC
• Demitria Goodwin
• Joseph H Goodwin, DPM

• Physical Therapy Clinic/Center in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Physical Therapy Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.