GOOD SHEPHERD CARE CENTER
NPI 1811905904
Skilled Nursing Facility in Versailles, MO

Active since August 04, 2006CLIA 26D0678085 · Waiver
4/5
Overall Rating
1101 W CLAY RD, VERSAILLES, MO 65084(573) 378-5411(573) 378-5415 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Good Shepherd Care Center NPPES

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

GOOD SHEPHERD CARE CENTER (NPI 1811905904) is a healthcare organization registered as a skilled nursing facility in Versailles, Missouri and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Rebecca May Mathiot, Financial Manager, as its authorized official.

NPPES Registry Identity

NPI1811905904
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOOD SHEPHERD CARE CENTER
Location Address1101 W CLAY RDVersailles, MO 65084-9314
Mailing Address1101 W Clay RdVersailles, MO 65084-9314 · (573) 378-5411 · Fax (573) 378-5415
Fax(573) 378-5415
Organization SubpartYesParent: Good Shepherd Nursing Home District
Authorized OfficialRebecca May MathiotFinancial Manager · (573) 378-5411
Enumeration DateAugust 4, 2006
Last NPPES UpdateDecember 6, 2011
NPI 1811905904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 031255
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.

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
1101 W CLAY RD, Versailles, MO 65084

Other Identifiers 4

Medicaid101487502MO
Other124739MO · Healthlink
Other110693MO · Blue Cross Of Missouri
Medicare OSCAR/certification265528MO

Accepted Insurance

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 26D0678085

Good Shepherd Care Center · Versailles, MO
Active · expires Aug 31, 2026
CLIA Number26D0678085
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorApril Zordel
Laboratory Phone(573) 378-5411
Laboratory LocationGood Shepherd Care Center1101 W Clay Road, Versailles, MO 65084
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 Care Center (CMS certification number 265528), from CMS Care Compare.

Good Shepherd Care Center

Nursing home · Versailles, MO
4/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number265528
Certified Beds117 beds50 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1993
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
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.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
42
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 2.49 · LPN 0.46 · RN 0.62
3.57 hrs per resident per day
Weekend Nurse Staffing
3.17 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
54.5%
Registered Nurse Turnover
42.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

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

Other Providers at the Same Location NPPES 8

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

Technician, Other
1101 W CLAY RD
VERSAILLES, MO 65084
Technician, Other
1101 W CLAY RD
VERSAILLES, MO 65084
Physical Therapy Assistant
1101 W CLAY RD
VERSAILLES, MO 65084
Physical Therapy Assistant
1101 W CLAY RD
VERSAILLES, MO 65084
Physical Therapist
1101 W CLAY RD
VERSAILLES, MO 65084
Physical Therapist
1101 W CLAY RD
VERSAILLES, MO 65084
Speech-Language Pathologist
1101 W CLAY RD
VERSAILLES, MO 65084
Occupational Therapy Assistant
1101 W CLAY RD
VERSAILLES, MO 65084

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 Care Center's NPI number?

The NPI number for Good Shepherd Care Center is 1811905904. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Good Shepherd Care Center located?

Good Shepherd Care Center is located at 1101 W Clay Rd, Versailles, MO 65084. The listed phone number is (573) 378-5411.

What is Good Shepherd Care Center's specialty?

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

Does Good Shepherd Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0678085) 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 Care Center a Medicare-certified nursing home?

Yes. Good Shepherd Care Center is a Medicare-certified nursing home with 117 certified beds.

What quality rating does Good Shepherd Care Center have?

CMS rates Good Shepherd Care Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Good Shepherd Care Center accept?

Health plans from Anthem Blue Cross and Blue Shield list Good Shepherd Care Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Good Shepherd Care Center was last updated on December 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.