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GOOD SHEPHERD SUPPORTIVE SERVICES
NPI 1316114606
Assisted Living Facility in Sauk Rapids, MN

Active since May 15, 2008CLIA 24D2232296 · Waiver
310 13TH ST N, SAUK RAPIDS, MN 56379(320) 252-6525(320) 259-3463 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Good Shepherd Supportive Services NPPES

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

GOOD SHEPHERD SUPPORTIVE SERVICES (NPI 1316114606) is a healthcare organization registered as an assisted living facility in Sauk Rapids, Minnesota and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Krista Martini, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1316114606
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHEPHERD OAK APARTMENTS, INC.
Location Address310 13TH ST NSauk Rapids, MN 56379-2176
Mailing Address1115 4th Ave NSauk Rapids, MN 56379-2201 · (320) 252-6525 · Fax (320) 259-3463
Phone(320) 252-6525
Fax(320) 259-3463
Organization SubpartNo
Authorized OfficialKrista MartiniVp Of Finance · (320) 252-6525
Enumeration DateMay 15, 2008
Last NPPES UpdateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1316114606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
310 13TH ST N, Sauk Rapids, MN 56379
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Other Names 1

Doing Business AsGood Shepherd Supportive Services

Other Identifiers 1

Medicaid471682100MN

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 24D2232296

Good Shepherd Supportive Services · Sauk Rapids, MN
Active · expires Aug 11, 2027
CLIA Number24D2232296
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorAndrea Kosloski
Laboratory Phone(320) 252-6525
Laboratory LocationGood Shepherd Supportive Services1115 4th Ave N, Sauk Rapids, MN 56379
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shepherd Oak Apartments, Inc.'s NPI number?

The NPI number for Shepherd Oak Apartments, Inc. is 1316114606. It was assigned to this organization in the NPPES registry on May 15, 2008. The provider is doing business as Good Shepherd Supportive Services.

Where is Shepherd Oak Apartments, Inc. located?

Shepherd Oak Apartments, Inc. is located at 310 13th St N, Sauk Rapids, MN 56379. The listed phone number is (320) 252-6525.

What is Shepherd Oak Apartments, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Shepherd Oak Apartments, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2232296) is associated with this NPI, valid through August 11, 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 Shepherd Oak Apartments, Inc. was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.