GOOD SHEPHERD MANOR, INC
NPI 1700100971
Day Training, Developmentally Disabled Services in Momence, IL

Q: What is Good Shepherd Manor, Inc's NPI number?

The NPI number for Good Shepherd Manor, Inc is 1700100971. It was assigned to this organization in the NPPES registry on March 17, 2010.

Q: What is Good Shepherd Manor, Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since March 17, 2010

4129 N STATE ROUTES 1 & 17, MOMENCE, IL 60954(815) 472-3700(815) 472-6086 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Good Shepherd Manor, Inc NPPES

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

GOOD SHEPHERD MANOR, INC (NPI 1700100971) is a healthcare organization registered as a day training, developmentally disabled services in Momence, Illinois and active in the NPI registry since March 2010. The organization lists Bruce Robert Fitzpatrick, President, as its authorized official.

NPPES Registry Identity

NPI1700100971

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameGOOD SHEPHERD MANOR, INC

Location Address4129 N STATE ROUTES 1 & 17Momence, IL 60954-0260

Mailing AddressPo Box 260, 4129 N State Routes 1 & 17Momence, IL 60954-0260 · (815) 472-3700 · Fax (815) 472-6086

Phone(815) 472-3700

Fax(815) 472-6086

Organization SubpartNo

Authorized OfficialBruce Robert FitzpatrickPresident · (815) 472-3700

Enumeration DateMarch 17, 2010

✔ NPI 1700100971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in IL · 6-374

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License 0002865 (IL)

4129 N STATE ROUTES 1 & 17, Momence, IL 60954

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Other Providers at the Same Location NPPES

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

GOOD SHEPHERD MANOR GROUPS HOMES, INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

4129 N STATE ROUTES 1 & 17
MOMENCE, IL 60954

Kankakee County (815) 472-3700

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 Manor, Inc's NPI number?

The NPI number for Good Shepherd Manor, Inc is 1700100971. It was assigned to this organization in the NPPES registry on March 17, 2010.

Where is Good Shepherd Manor, Inc located?

Good Shepherd Manor, Inc is located at 4129 N State Routes 1 & 17, Momence, IL 60954. The listed phone number is (815) 472-3700.

What is Good Shepherd Manor, Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Good Shepherd Manor, Inc was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.