Provider Demographics
NPI:1013896653
Name:GOOD SHEPHERD GERIATRIC CENTER INC
Entity type:Organization
Organization Name:GOOD SHEPHERD GERIATRIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-424-1740
Mailing Address - Street 1:302 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3412
Mailing Address - Country:US
Mailing Address - Phone:641-450-5095
Mailing Address - Fax:
Practice Address - Street 1:222 S PIERCE AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2748
Practice Address - Country:US
Practice Address - Phone:641-513-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD SHEPHERD GERIATRIC CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility