GOOD SHEPHERD NURSING HOME
NPI 1396747275
Skilled Nursing Facility in Lockwood, MO

Active since August 11, 2005CLIA 26D0447257 · Waiver
3/5
Overall Rating
200 W 12TH ST, LOCKWOOD, MO 65682(417) 232-4571 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Good Shepherd Nursing Home NPPES

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

GOOD SHEPHERD NURSING HOME (NPI 1396747275) is a healthcare organization registered as a skilled nursing facility in Lockwood, Missouri and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Doris Lilienkamp, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396747275
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOOD SHEPHERD NURSING HOME
Location Address200 W 12TH STLockwood, MO 65682-8337
Mailing Address200 W 12th StLockwood, MO 65682-8337 · (417) 232-4571
Organization SubpartNo
Authorized OfficialDoris LilienkampAdministrator · (417) 232-4571
Enumeration DateAugust 11, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1396747275 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 MO · 028855
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.

200 W 12TH ST, Lockwood, MO 65682

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 26D0447257

Good Shepherd Nursing Home · Lockwood, MO
Active · expires Aug 31, 2026
CLIA Number26D0447257
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAmanda F. Robinson
Laboratory Phone(417) 232-4571
Laboratory LocationGood Shepherd Nursing Home200 W 12th St, Lockwood, MO 65682
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Good Shepherd Community Care And Rehabilitation (CMS certification number 265705), from CMS Care Compare.

Good Shepherd Community Care And Rehabilitation

Nursing home · Lockwood, MO
3/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number265705
Certified Beds69 beds61 residents per day on average
Medicare & Medicaid Participant SinceJune 12, 2000
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
52
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.35 · LPN 0.37 · RN 0.72
4.44 hrs per resident per day
Weekend Nurse Staffing
3.96 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $5,292.03
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Good Shepherd Nursing Home's NPI number?

The NPI number for Good Shepherd Nursing Home is 1396747275. It was assigned to this organization in the NPPES registry on August 11, 2005.

Where is Good Shepherd Nursing Home located?

Good Shepherd Nursing Home is located at 200 W 12th St, Lockwood, MO 65682. The listed phone number is (417) 232-4571.

What is Good Shepherd Nursing Home's specialty?

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

Does Good Shepherd Nursing Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0447257) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Good Shepherd Nursing Home a Medicare-certified nursing home?

Yes. Good Shepherd Community Care And Rehabilitation is a Medicare-certified nursing home with 69 certified beds.

What quality rating does Good Shepherd Nursing Home have?

CMS rates Good Shepherd Community Care And Rehabilitation 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Good Shepherd Nursing Home was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.