GOOD SHEPHERD MANOR
NPI 1275704546
Intermediate Care Facility, Intellectual Disabilities in Lucasville, OH

Active since March 14, 2008
374 GOOD MANOR RD., LUCASVILLE, OH 45648(187) 788-5286 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Shepherd Manor NPPES

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

GOOD SHEPHERD MANOR (NPI 1275704546) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lucasville, Ohio and active in the NPI registry since March 2008. The organization lists Dave Phipps, Interim Chief Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275704546
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameFRIENDS OF GOOD SHEPHERD MANOR
Location Address374 GOOD MANOR RD.Lucasville, OH 45648
Mailing Address374 Good Manor RoadLucasville, OH 45648
Organization SubpartNo
Authorized OfficialDave PhippsInterim Chief Executive Director · (877) 885-2861
Enumeration DateMarch 14, 2008
Last NPPES UpdateFebruary 4, 2009
NPI 1275704546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
374 GOOD MANOR RD., Lucasville, OH 45648

Other Names 1

Other NameGood Shepherd Manor

Other Identifiers 1

Medicaid0850477OH

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
374 GOOD MANOR RD.
LUCASVILLE, OH 45648

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 Friends Of Good Shepherd Manor's NPI number?

The NPI number for Friends Of Good Shepherd Manor is 1275704546. It was assigned to this organization in the NPPES registry on March 14, 2008. The provider is also known as Good Shepherd Manor.

Where is Friends Of Good Shepherd Manor located?

Friends Of Good Shepherd Manor is located at 374 Good Manor Rd., Lucasville, OH 45648. The listed phone number is (187) 788-5286.

What is Friends Of Good Shepherd Manor's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Friends Of Good Shepherd Manor was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.