LUTHERAN GOOD SHEPHERD HOME
NPI 1689376147
Assisted Living Facility in Concordia, MO

Active since March 20, 2023CLIA 26D0442602 · Waiver
202 S WEST ST, CONCORDIA, MO 64020(660) 463-2267 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lutheran Good Shepherd Home NPPES

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

LUTHERAN GOOD SHEPHERD HOME (NPI 1689376147) is a healthcare organization registered as an assisted living facility in Concordia, Missouri and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sherry Graham, Lnha, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689376147
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLUTHERAN GOOD SHEPHERD HOME
Location Address202 S WEST STConcordia, MO 64020-9643
Mailing Address202 S West StConcordia, MO 64020-9643 · (660) 463-2267
Organization SubpartYesParent: Lutheran Nursing Home
Authorized OfficialSherry GrahamLnha, Administrator · (660) 463-2267
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
NPI 1689376147 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.
202 S WEST ST, Concordia, MO 64020

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 26D0442602

Lutheran Good Shepherd Home · Concordia, MO
Active · expires Aug 31, 2026
CLIA Number26D0442602
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSherry Graham
Laboratory Phone(660) 463-2267
Laboratory LocationLutheran Good Shepherd Home202 South West, Concordia, MO 64020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physical Therapy Assistant
202 S WEST ST
CONCORDIA, MO 64020
Skilled Nursing Facility
202 S WEST ST
CONCORDIA, MO 64020
Skilled Nursing Facility
202 S WEST ST
CONCORDIA, MO 64020
Physical Therapy Assistant
202 S WEST ST
CONCORDIA, MO 64020

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 Lutheran Good Shepherd Home's NPI number?

The NPI number for Lutheran Good Shepherd Home is 1689376147. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Lutheran Good Shepherd Home located?

Lutheran Good Shepherd Home is located at 202 S West St, Concordia, MO 64020. The listed phone number is (660) 463-2267.

What is Lutheran Good Shepherd Home's specialty?

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

Does Lutheran Good Shepherd Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0442602) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lutheran Good Shepherd Home was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.