GOOD SHEPHERD HEALTH
NPI 1104813880
Skilled Nursing Facility in Phelps, KY

Active since September 29, 2005CLIA 18D0937728 · Waiver
60 PHILLIPS BRANCH RD, PHELPS, KY 41553(502) 259-9101(502) 259-9109 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Dec 5, 2017 (2 updates tracked since 2017).

About Good Shepherd Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SHEPHERD HEALTH (NPI 1104813880) is a healthcare organization registered as a skilled nursing facility in Phelps, Kentucky and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Hattie Wagner, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1104813880
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC
Location Address60 PHILLIPS BRANCH RDPhelps, KY 41553-9061
Mailing AddressPo Box 18067Louisville, KY 40261-0067 · (502) 259-9101 · Fax (502) 259-9109
Fax(502) 259-9109
Organization SubpartNo
Authorized OfficialHattie WagnerCeo/president · (502) 259-9101
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1104813880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KY · 100516
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
60 PHILLIPS BRANCH RD, Phelps, KY 41553

Other Names 2

Doing Business AsGood Shepherd Health
Doing Business AsGood Shepherd Community Nursing Center

Other Identifiers 1

Medicaid12504080KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0937728

Good Shepherd Health And Rehabilitation Center · Phelps, KY
Active · expires Dec 21, 2027
CLIA Number18D0937728
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorPatricia Gibson
Laboratory Phone(606) 456-8275
Laboratory LocationGood Shepherd Health And Rehabilitation Center60 Phillips Branch Rd, Phelps, KY 41553
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
60 PHILLIPS BRANCH RD
PHELPS, KY 41553
Physical Therapist
60 PHILLIPS BRANCH RD
PHELPS, KY 41553
Nurse Practitioner (Family)
60 PHILLIPS BRANCH RD
PHELPS, KY 41553
Nurse Practitioner (Primary Care)
60 PHILLIPS BRANCH RD
PHELPS, KY 41553
Physical Therapist
60 PHILLIPS BRANCH RD
PHELPS, KY 41553
Occupational Therapy Assistant
60 PHILLIPS BRANCH RD
PHELPS, KY 41553
Skilled Nursing Facility
60 PHILLIPS BRANCH RD
PHELPS, KY 41553
Speech-Language Pathologist
60 PHILLIPS BRANCH RD
PHELPS, KY 41553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Presbyterian Homes And Services Of Kentucky, Inc's NPI number?

The NPI number for Presbyterian Homes And Services Of Kentucky, Inc is 1104813880. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Good Shepherd Health and Good Shepherd Community Nursing Center.

Where is Presbyterian Homes And Services Of Kentucky, Inc located?

Presbyterian Homes And Services Of Kentucky, Inc is located at 60 Phillips Branch Rd, Phelps, KY 41553. The listed phone number is (502) 259-9101.

What is Presbyterian Homes And Services Of Kentucky, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Presbyterian Homes And Services Of Kentucky, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0937728) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Presbyterian Homes And Services Of Kentucky, Inc was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.