Good Shepherd Manor Groups Homes, Inc
Good Shepherd Manor Groups Homes, Inc is an Intellectual Disabilities Intermediate Care Facility in Momence, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4129 N State Routes 1 & 17Momence, IL 60954
Phone: (815) 472-3700
Fax: (815) 472-6086
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 96S015 (IL) |
|---|---|
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 0041913 (IL) |
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 41905 (IL) |
Record details
| NPI number | 1689998700 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Fitzpatrick — President · (815) 472-3700 |
| NPI enumerated | March 18, 2010 |
| Last updated in NPPES | March 18, 2010 |
| Mailing address | Po Box 260, 4129 N State Routes 1 & 17, Momence, IL 60954-0260 |
Other providers in Momence
-
Good Shepherd Manor Inc
4003 N Routes 1 & 17, Momence, IL 60954-0260 · (815) 472-3700
-
Good Shepherd Manor Inc
4129A N State Routes 1 & 17, Momence, IL 60954-0260 · (815) 472-3700