Good Shepherd Nursing Home LC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

50 Issued in WV

Legal business name

GOOD SHEPHERD NURSING HOME LC

Practice address

159 Edgington LN
Wheeling, WV 26003-1542

Phone

(304) 242-1093

Fax

(304) 242-1121

NPI assigned

Oct 5, 2005

Last updated

Aug 22, 2020By 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. Donald R Kirsch

Title

Administrator

Phone

(304) 242-1093

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851388722. Details of each certification follow.

• CCN 515038 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 515038

Legal name

GOOD SHEPHERD NURSING HOME LC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 15, 1971

Last certification

Jun 28, 2023

Beds

192

Ownership / control type

Church Related

Multi-facility organization

Genesis Healthcare

Organization structure

LLCNon-profit

Incorporated

Jan 1, 2004 in WV

Enrollment address

159 Edgington Lane
Wheeling, WV 26003-1542

Nursing home name

GOOD SHEPHERD NURSING HOME

Other NPIs on the same Medicare enrollment 1

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

• Rehabmd PLLC

  • Physical Therapist
  • Wheeling, WV
  • NPI 1922489582

  O20150729007481

  Same enrollment

Listed as

Good Shepherd Nursing HomeCCN 515038 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jan 15, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

192174.9 residents per day on average

Penalties (3 years)

1Fines totaling $27,378

Processed by Care Compare on Aug 1, 2026.

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

  • Physical Therapy Clinic/Center
  • Wheeling, WV
  • NPI 1609416346
  NPD tax ID

All disclosed owners & managing parties 10

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

Practitioners 5

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.

• Margaret Graynovsky, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wheeling, WV
  • NPI 1326255209
  NPD
• James Louis Comerci, MD

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1376537191
  NPD (past)
• William Carl Mercer, MD

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1780687558
  NPD (past)
• David Michael Nally, M.D.

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1538261193
  NPD (past)
• Michael T Wayt, M.D.

  • Family Medicine Physician
  • Glen Dale, WV
  • NPI 1639164684
  NPD (past)

Affiliated clinicians 5

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

• James Louis Comerci, MD

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1376537191

  Nursing home

  Care Compare affiliation
• Lisa Caroline Hill, MD

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1366488702

  Nursing home

  Care Compare affiliation
• William Carl Mercer, MD

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1780687558

  Nursing home

  Care Compare affiliation
• Michael T Wayt, M.D.

  • Family Medicine Physician
  • Glen Dale, WV
  • NPI 1639164684

  Nursing home

  Care Compare affiliation
• Timothy J Wilson, D.O

  • Internal Medicine Physician
  • Wheeling, WV
  • NPI 1407892631

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851388722",
    "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",
            "telephone_number": "304-242-1093",
            "fax_number": "304-242-1121"
        },
        {
            "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",
            "fax_number": "304-242-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD NURSING HOME LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-242-1093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003564000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Terry Goodwin

• Skilled Nursing Facility in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.