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Good Shepherd Manor, Inc
Adult Care Home Facility in Momence, Illinois
NPI 1700100971

Good Shepherd Manor, Inc is an Adult Care Home Facility based in Momence, IL and is specialized in Adult Care Home. Good Shepherd Manor, Inc practices in Momence, IL. The NPI Number for Good Shepherd Manor, Inc is 1700100971 and holds a License No. 6-374 (Illinois).

The current practice location address for Good Shepherd Manor, Inc is 4129 N State Routes 1 & 17, Momence, IL and can be reached out via phone at 815-472-3700 and via fax at 815-472-6086.

Location: 4129 N State Routes 1 & 17, Momence, IL, 60954-0260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700100971
Provider Name
Good Shepherd Manor, Inc
Credential
Provider Entity Type
Organization
Address
4129 N State Routes 1 & 17, Momence, IL, 60954-0260
Phone Number
815-472-3700
Fax Number
815-472-6086
Provider Enumeration Date
03/17/2010
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4129 N State Routes 1 & 17
City
Momence
State
Illinois
Zip
60954-0260
Phone Number
815-472-3700
Fax Number
815-472-6086
person
Provider Business Mailing Address Details
Address
4129 N State Routes 1 & 17
City
Momence
State
Illinois
Zip
60954-0260
Phone Number
815-472-3700
Fax Number
815-472-6086
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
0002865 (Illinois)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6-374 (Illinois)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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