Good Shepherd Manor, Inc
NPI 1700100971 · Developmentally Disabled Services Day Training Agency · Momence, IL
Good Shepherd Manor, Inc is a Developmentally Disabled Services Day Training Agency organization in Momence, IL (NPI 1700100971).
Provider details
- NPI number
- 1700100971
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Bruce Fitzpatrick, President(815) 472-3700
- License
- 0002865 (IL)
Specialties & taxonomies
Agencies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-17
- Last updated
- 2010-03-17
Frequently asked questions
- What is Good Shepherd Manor, Inc's NPI number?
- Good Shepherd Manor, Inc's National Provider Identifier (NPI) is 1700100971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Good Shepherd Manor, Inc?
- Good Shepherd Manor, Inc is classified in the NPPES registry as Developmentally Disabled Services Day Training Agency (Agencies).
- Where is Good Shepherd Manor, Inc located?
- Good Shepherd Manor, Inc's practice location on file with NPPES is 4129 N State Routes 1 & 17, Momence, IL 60954-0260.
- What is Good Shepherd Manor, Inc's phone number?
- The practice phone number listed in the NPPES registry for Good Shepherd Manor, Inc is (815) 472-3700.
- Who is the authorized official for Good Shepherd Manor, Inc?
- The authorized official listed on Good Shepherd Manor, Inc's NPPES record is Bruce Fitzpatrick, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Good Shepherd Manor, Inc's NPI active?
- Yes — Good Shepherd Manor, Inc's NPI (1700100971) is active in the NPPES registry as of the last update on 2010-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.