Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GOOD SHEPHERD MANOR GROUPS HOMES, INC
Active OrganizationGOOD SHEPHERD MANOR GROUPS HOMES, INC is a Emotionally Disturbed Children Residential Treatment organization located in MOMENCE, Illinois. NPI 1689998700 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · MOMENCE, IL
Registration Details
- NPI Number
- 1689998700
- Provider Type
- Organization
- NPI Issued
- Mar 18, 2010 (16.420452825309 yrs)
- Last Updated
- Mar 18, 2010
- Licenses
-
0041913 (IL)41905 (IL)96S015 (IL)
Practice Information
- Address
-
4129 N STATE ROUTES 1 & 17MOMENCE, IL, 60954Browse IL providers · Browse ZIP 60954
- Phone
- 8154723700
- Fax
- 8154726086
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- ICF/Individuals with Intellectual Disabilities
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.