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THOMAS HERBSTRITT HOUSE
NPI 1750659199
Intermediate Care Facility, Intellectual Disabilities in Momence, IL

Active since December 13, 2011
4003 N. ROUTES 1 & 17, MOMENCE, IL 60954(815) 472-3700(815) 472-6086 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Herbstritt House NPPES

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

THOMAS HERBSTRITT HOUSE (NPI 1750659199) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Momence, Illinois and active in the NPI registry since December 2011. The organization lists Bruce Robert Fitzpatrick, President, as its authorized official.

NPPES Registry Identity

NPI1750659199
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGOOD SHEPHERD MANOR INC
Location Address4003 N. ROUTES 1 & 17Momence, IL 60954-0260
Mailing AddressPo Box 260Momence, IL 60954-0260 · (815) 472-3700 · Fax (815) 472-6086
Phone(815) 472-3700
Fax(815) 472-6086
Organization SubpartYes
Authorized OfficialBruce Robert FitzpatrickPresident · (815) 472-3700
Enumeration DateDecember 13, 2011
✔ NPI 1750659199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in IL · 0051466
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

4003 N. ROUTES 1 & 17, Momence, IL 60954
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Other Names 1

Other NameThomas Herbstritt House

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 1750659199. It was assigned to this organization in the NPPES registry on December 13, 2011. The provider is also known as Thomas Herbstritt House.

Where is Good Shepherd Manor Inc located?

Good Shepherd Manor Inc is located at 4003 N. 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 Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Good Shepherd Manor Inc was last updated on December 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.