GOOD SHEPHERD HOME
NPI 1689698193
Custodial Care Facility in Watford City, ND

NPI Status: Active since July 27, 2006

Contact Information

709 4TH AVE NE
WATFORD CITY, ND
ZIP 58854
Phone: (701) 444-2331
Fax: (701) 444-4629

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  • Organization
  • Custodial Care Facility
  • Accepts Insurance

About GOOD SHEPHERD HOME

This page provides the complete NPI Profile along with additional information for Good Shepherd Home, a provider established in Watford City, North Dakota operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1689698193 assigned on July 2006. The practitioner's primary taxonomy code is 311Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Good Shepherd Home. The authorized official of this NPI record is Daniel R. Kelly (Chief Executive Officer)

NPI
1689698193
Provider Legal Name
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Other Organization Name
GOOD SHEPHERD HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
709 4TH AVE NE WATFORD CITY, ND 58854
Location Phone
(701) 444-2331
Location Fax
(701) 444-4629
Mailing Address
709 4TH AVE NE WATFORD CITY, ND 58854
Mailing Phone
(701) 444-2331
Mailing Fax
(701) 444-4629
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-27-2006
Last Update Date
12-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL R. KELLY

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(701) 842-3000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30767MEDICAID (05)ND 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689698193, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 2 + 9 + 1 + 6 + 1 + 1 + 8 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1689698193.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Family Medicine (Sports Medicine)
709 4TH AVE NE
WATFORD CITY, ND 58854
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Non-Pharmacy Dispensing Site
709 4TH AVE NE
WATFORD CITY, ND 58854
Pediatrics
709 4TH AVE NE
WATFORD CITY, ND 58854
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Non-Pharmacy Dispensing Site
709 4TH AVE NE
WATFORD CITY, ND 58854
Clinic/Center
709 4TH AVE NE
WATFORD CITY, ND 58854
General Practice
709 4TH AVE NE
WATFORD CITY, ND 58854
Skilled Nursing Facility
709 4TH AVE NE
WATFORD CITY, ND 58854
Internal Medicine
709 4TH AVE NE
WATERFORD CITY, ND 58854
Case Manager/Care Coordinator
709 4TH AVE NE
WATFORD CITY, ND 58854
Physical Therapist
709 4TH AVE NE
WATFORD CITY, ND 58854
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Surgery
709 4TH AVE NE
WATFORD CITY, ND 58854
Clinic/Center (Rural Health)
709 4TH AVE NE
WATFORD CITY, ND 58854
Medicare Defined Swing Bed Unit
709 4TH AVE NE
WATFORD CITY, ND 58854
Specialist/Technologist (Athletic Trainer)
709 4TH AVE NE
WATFORD CITY, ND 58854
Internal Medicine (Medical Oncology)
709 4TH AVE NE
WATFORD CITY, ND 58854
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689698193, enumerated as an "organization" on July 27, 2006.

The provider is located at 709 4TH AVE NE WATFORD CITY, ND 58854 and the phone number is (701) 444-2331.

Custodial Care Facility with taxonomy code 311Z00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medicare. Please consult your insurance carrier or call the provider to verify.