Good Shepherd Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031255 Issued in MO

Legal business name

GOOD SHEPHERD CARE CENTER

Practice address

1101 W Clay Rd
Versailles, MO 65084-9314

Phone

(573) 378-5411

Fax

(573) 378-5415

NPI assigned

Aug 4, 2006

Organization subpart

Yes

Parent organization

GOOD SHEPHERD NURSING HOME DISTRICTAs reported in NPPES

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

Authorized official

Name

Mrs. Rebecca May Mathiot

Title

Financial Manager

Phone

(573) 378-5411

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265528

Legal name

GOOD SHEPHERD CARE CENTER

Doing business as

GOOD SHEPHERD CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1993

Last certification

May 2, 2025

Beds

120 (117 certified)

Ownership / control type

County

Organization structure

OtherNon-profit

Enrollment address

1101 W Clay Rd
Versailles, MO 65084-1177

Nursing home name

GOOD SHEPHERD CARE CENTER

Listed as

Good Shepherd Care CenterCCN 265528

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Apr 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11749.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Christine Ann Livek, M.D.

  • Family Medicine Physician
  • Eldon, MO
  • NPI 1194758011

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Ann Livek, M.D.

  • Family Medicine Physician
  • Eldon, MO
  • NPI 1194758011
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1811905904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W CLAY RD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650849314",
            "telephone_number": "573-378-5411",
            "fax_number": "573-378-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CLAY RD",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650849314",
            "telephone_number": "573-378-5411",
            "fax_number": "573-378-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SHEPHERD NURSING HOME DISTRICT",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MATHIOT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "573-378-5411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101487502",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "124739",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MISSOURI",
            "identifier": "110693",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Eggen, PTA
• Doris Elliott, LPC
• Eye Clinic LLC
• Katherine E. Froeschle, M.D.
• Gollihar'S Shoe Store, Inc.
• Angelica Araceli Goodrich, OTR/L
• Sarah L. Gordon, M.D.
• Harmony Central, LLC
• Susan Elizabeth Hill, RPH
• Christina Hodges, RN, IBCLC

• Skilled Nursing Facility in Versailles, MO
• Providers in Versailles, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.