GOOD SHEPHERD CORPORATION NPI 1003032558

Case Management in Scranton, PA

NPI 1003032558 Organization Case Management

About GOOD SHEPHERD CORPORATION

Good Shepherd Corporation is a provider established in Scranton, Pennsylvania specializing in case management. The NPI number of Good Shepherd Corporation is 1003032558 and was assigned on April 2007. The practitioner's primary taxonomy code is 251B00000X with license number XRC970900 (PA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. John Antognoli (Chief Executive Officer)

NPI

1003032558

Provider NameGOOD SHEPHERD CORPORATION
Provider Location Address1327 WYOMING AVE SCRANTON, PA 18509
Provider Mailing Address1327 WYOMING AVE SCRANTON, PA 18509
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-17-2007
Last Update Date01-24-2011


Primary Taxonomy

Taxonomy Code251B00000X
ClassificationCase Management
TypeAgencies
License No.XRC970900
License StatePA
Taxonomy DescriptionAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Business Address

GOOD SHEPHERD CORPORATION
1327 WYOMING AVE
SCRANTON, PA
ZIP 18509
Phone: (570) 702-8360
Fax: (570) 702-8623

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Mailing Address

GOOD SHEPHERD CORPORATION
1327 WYOMING AVE
SCRANTON, PA
ZIP 18509
Phone: (570) 702-8360
Fax: (570) 702-8623



Authorized Official

Authorized Official NameDR. JOHN ANTOGNOLI
Authorized Official TitleCHIEF EXECUTIVE OFFICER
Authorized Official Phone(570) 702-8360

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1007283070005MEDICAID (05)PA

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477689842GOOD SHEPHERD CORPORATION
Organization
Public Health or Welfare1327 WYOMING AVE
SCRANTON, PA 18509
(570) 702-8360
1851517304LOURDESMONT BEHAVIORAL HEALTH SERVICES
Organization
Case Management1327 WYOMING AVE
SCRANTON, PA 18509
(570) 702-8360
1710103254LOURDESMONT BEHAVIORAL HEALTH SERVICES
Organization
Community/Behavioral Health1327 WYOMING AVE
SCRANTON, PA 18509
(570) 702-8360
1235436551LOURDESMONT BEHAVIORAL HEALTH SERVICES
Organization
Community/Behavioral Health1327 WYOMING AVE
SCRANTON, PA 18509
(570) 702-8360

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.