NPIMap

Organization Active NPI

Blair NF Operations LLC

Doing business as Good Shepherd Lutheran Home

  • Skilled Nursing Facility
  • Blair, NE
National Provider Identifier
1629780796
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BLAIR NF OPERATIONS LLC
Doing business as
Good Shepherd Lutheran Home
Practice address
2282 Wright Street
Blair, NE 68008
Phone
(402) 426-4663
NPI assigned
Dec 20, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Yisroel Ganz
Title
Director
Phone
(732) 366-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2282 Wright Street
Blair, NE 68008

Mailing address

2282 Wright Street
Blair, NE 68008

Other names 1

  • Good Shepherd Lutheran Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223002743 NE Part A Provider - Skilled Nursing Facility 6002266012 Practice locations: Blair, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629780796. Details of each certification follow.

Skilled nursing facility certification: CCN 285148

Legal name
BLAIR NF OPERATIONS LLC
Doing business as
GOOD SHEPHERD LUTHERAN HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1994
Last certification
May 1, 2025
Beds
84
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Sienna Healthcare
Most recent change of ownership
Jun 29, 2023
Organization structure
LLCProprietary
Enrollment address
2242 Wright St
Blair, NE 68008-1148
Nursing home name
GOOD SHEPHERD LUTHERAN HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Good Shepherd Lutheran HomeCCN 285148 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8466.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2282 Wright St
Blair, NE 68008
Phone (402) 426-4663

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Matisyohu Herzka Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Jun 29, 2023 49.5%
Managing Control - Governing Body Jun 23, 2023
Adp of the SNF Jun 29, 2023
Abraham Schreiber Individual Adp of the SNF Jun 29, 2023
Direct Ownership Interest Jun 29, 2023 49.5%
Johnnie K Simonson Individual Operational/Managerial Control Jun 29, 2023
Adp of the SNF Jun 29, 2023
Candace a Gibson Individual Operational/Managerial Control Jun 29, 2023
Adp of the SNF Jun 29, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 6

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": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1629780796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 WRIGHT STREET",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "68008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 WRIGHT STREET",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "68008",
            "telephone_number": "402-426-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR NF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "GANZ",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-366-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Lutheran Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blair, NE

Sources for this page

Verify at the official NPI Registry.