NPIMap

Organization Active NPI

Good Shepherd Geriatric Center, Inc.

Doing business as Good Shepherd Health Center, Inc

  • Skilled Nursing Facility
  • Mason City, IA
National Provider Identifier
1699849448
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
170219 Issued in IA
Legal business name
GOOD SHEPHERD GERIATRIC CENTER, INC.
Doing business as
Good Shepherd Health Center, Inc
Practice address
302 2ND St NE
Mason City, IA 50401-3412
Phone
(641) 424-1740
NPI assigned
Nov 20, 2006
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Michelle Horst
Title
Controller
Phone
(641) 450-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 170219 IA Primary

Addresses

Primary practice location

302 2ND St NE
Mason City, IA 50401-3412

Mailing address

302 2ND St NE
PO Box 1707
Mason City, IA 50401-3412
Phone (641) 424-1740

Other names 1

  • Good Shepherd Health Center, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090116000591 IA Part A Provider - Skilled Nursing Facility 5193780005 Practice locations: Mason City, IA
O20151222001871 IA Part B Supplier - Mass Immunization (Roster Biller Only) 5193780005 Practice locations: Mason City, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699849448. Details of each certification follow.

Skilled nursing facility certification: CCN 165072

Legal name
GOOD SHEPHERD GERIATRIC CENTER INC
Doing business as
GOOD SHEPHERD HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1968
Last certification
Oct 31, 2024
Beds
170
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 21, 1964 in IA
Enrollment address
302 2ND St NE
Mason City, IA 50401-1707
Nursing home name
GOOD SHEPHERD HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Good Shepherd Health CenterCCN 165072 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
170147.0 residents per day on average
Penalties (3 years)
1Fines totaling $87,458

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Ctr Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jerrold L White Individual Corporate Director Jan 1, 2021
Thelma Madden Individual Corporate Director Jan 1, 2021
Ian Stockbeger Individual Corporate Officer Dec 1, 2013
W-2 Managing Employee Dec 1, 2013
Anne Demaris Individual W-2 Managing Employee Nov 19, 2008
Anne Zook Individual Corporate Director Jan 1, 2021
Burton Everist Individual Corporate Director Jan 1, 2021
Terry Schumaker Individual Corporate Director Jan 1, 2021
Anne Flynn Individual Corporate Director Jan 1, 2021
Kathryn Alden Individual Corporate Director Jan 1, 2021
Good Shepherd Geriatric Center Inc Organization, Mason City, IA Operational/Managerial Control Nov 19, 2008
Scott Shipman Individual Corporate Director Jan 1, 2021
Kirk Paulson Individual Corporate Director Jan 1, 2021
Dan Gerrietts Individual Corporate Director Jan 1, 2021
Samuel R Hunt Individual Corporate Director Jan 1, 2021
Tom Douglas Individual Corporate Director Jan 1, 2021
Scott Smed Individual Corporate Director Jan 1, 2021
John Lee Boedeker Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

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 10

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1699849448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 2ND ST NE",
            "address_2": "PO BOX 1707",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013412",
            "telephone_number": "641-424-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 2ND ST NE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013412",
            "telephone_number": "641-424-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD GERIATRIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "HORST",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "641-450-5095"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "170219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Health Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.