Good Shepherd Villages, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

B058002 Issued in KS

Legal business name

GOOD SHEPHERD VILLAGES, INC

Practice address

613 3Rd St
Summerfield, KS 66541-8619

Phone

(785) 336-1301

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Lee Ann Schaardt, OPERATOR/LPN

Title

Operator/LPN

Phone

(785) 336-1301

Specialties & licenses 1

Addresses

Other names 1

• Good Shepherd Home Plus Doing business as

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1902348865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "SUMMERFIELD",
            "state": "KS",
            "postal_code": "665410144",
            "telephone_number": "785-336-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 3RD ST",
            "city": "SUMMERFIELD",
            "state": "KS",
            "postal_code": "665418619",
            "telephone_number": "785-336-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD VILLAGES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "SCHAARDT",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPERATOR/LPN",
        "authorized_official_telephone_number": "785-336-1301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPERATOR/LPN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "B058002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Home Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.