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FRIENDS OF GOOD SHEPHERD MANOR
NPI 1912110925
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lucasville, OH

Active since May 07, 2007
374 GOOD MANOR RD., LUCASVILLE, OH 45648(740) 289-2861(740) 289-3916 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Friends Of Good Shepherd Manor NPPES

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

FRIENDS OF GOOD SHEPHERD MANOR (NPI 1912110925) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Lucasville, Ohio and active in the NPI registry since May 2007. The organization lists Jackie Brenda Bowling, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912110925
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFRIENDS OF GOOD SHEPHERD MANOR
Location Address374 GOOD MANOR RD.Lucasville, OH 45648-1029
Mailing AddressPo Box 1029Lucasville, OH 45648-1029 · (740) 289-2861 · Fax (740) 289-3916
Phone(740) 289-2861
Fax(740) 289-3916
Organization SubpartNo
Authorized OfficialJackie Brenda BowlingExecutive Director · (740) 289-2861
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 11, 2009
✔ NPI 1912110925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in OH · 6600173
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X · License 6610055 (OH), 6610153 (OH), 6610306 (OH)
374 GOOD MANOR RD., Lucasville, OH 45648
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Other Identifiers 1

Medicaid0830364OH

Other Providers at the Same Location NPPES

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

FRIENDS OF GOOD SHEPHERD MANOR
Intermediate Care Facility, Intellectual Disabilities
374 GOOD MANOR RD.
LUCASVILLE, OH 45648
Scioto County (187) 788-5286

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 Friends Of Good Shepherd Manor's NPI number?

The NPI number for Friends Of Good Shepherd Manor is 1912110925. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Friends Of Good Shepherd Manor located?

Friends Of Good Shepherd Manor is located at 374 Good Manor Rd., Lucasville, OH 45648. The listed phone number is (740) 289-2861.

What is Friends Of Good Shepherd Manor's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Friends Of Good Shepherd Manor was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.