Good Shepherd Fairview Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

030E005 Issued in NY

Legal business name

GOOD SHEPHERD FAIRVIEW HOME INC

Practice address

80 Fairview Ave
Binghamton, NY 13904-1132

Phone

(607) 724-2477

Fax

(607) 724-0957

NPI assigned

Oct 22, 2008

Last updated

Sep 14, 2023By 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

Mr. Ulysses Sam Arnold

Title

Cfo

Phone

(607) 724-2477

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689826570. Details of each certification follow.

• CCN 335527 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335527

Legal name

GOOD SHEPHERD-FAIRVIEW HOME, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1976

Last certification

Jan 19, 2024

Beds

54

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 17, 1969 in NY

Enrollment address

80 Fairview Ave
Binghamton, NY 13904-1132

Nursing home name

GOOD SHEPHERD-FAIRVIEW HOME INC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Good Shepherd-Fairview Home, Inc.

  • Skilled Nursing Facility
  • Binghamton, NY
  • NPI 1841285939

  O20050502000247

  Same enrollment

Listed as

Good Shepherd-Fairview Home IncCCN 335527 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5449.4 residents per day on average

Penalties (3 years)

1Fines totaling $16,153

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 14

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

Affiliated clinicians 2

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

• Corina Arana, DO

  • Family Medicine Physician
  • Johnson City, NY
  • NPI 1588041479

  Nursing home

  Care Compare affiliation
• Eric Arnold Seybold, MD

  • Orthopaedic Surgery Physician
  • Binghamton, NY
  • NPI 1710095427

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1689826570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FAIRVIEW AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041132",
            "telephone_number": "607-724-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FAIRVIEW AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041132",
            "telephone_number": "607-724-2477",
            "fax_number": "607-724-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD FAIRVIEW HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "ULYSSES",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "607-724-2477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "030E005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Goff, PHARMD
• James E Golden, LMSW
• Nicole Golenski
• Golub Corporation (Price Chopper Pharmacy)
• Luisa S Gonzalez
• Good Shepherd-Fairview Home, Inc.
• Philip Goodman, MD
• Emily Goodwin
• Heather B. Gordon, LCSW-R
• Maria Gordon, LCSW

• Assisted Living Facility in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.