Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Friends of Good Shepherd Manor

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1912110925

Friends of Good Shepherd Manor is an Intellectual Disabilities Intermediate Care Facility in Lucasville, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
Specialties on file
4

Practice location Address checks out

374 Good Manor Rd
Lucasville, OH 45648-1029
Phone: (740) 289-2861
Fax: (740) 289-3916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 6600173 (OH)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence 6610055 (OH)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence 6610153 (OH)
Intellectual Disabilities Intermediate Care Facility Taxonomy 315P00000X · Licence 6610306 (OH)

Record details

NPI number1912110925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Bowling — Executive Director · (740) 289-2861
NPI enumeratedMay 7, 2007
Last updated in NPPESFebruary 11, 2009
Mailing addressPo Box 1029, Lucasville, OH 45648-1029

Other providers in Lucasville