Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Good Shepherd Manor, Inc

Developmentally Disabled Services Day Training Agency in Momence, IL · enumerated 2010 · authorized official Bruce Fitzpatrick, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700100971

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Registry record

Entity type Organization (Type 2)

Legal business name Good Shepherd Manor, Inc

Practice address 4129 N State Routes 1 & 17, Momence, IL, 60954

Phone (815) 472-3700

Fax (815) 472-6086

Enumeration date Mar 17, 2010

Last updated in NPPES Mar 17, 2010

Taxonomy & classification

251C00000X Developmentally Disabled Services Day Training Agency Agencies · License 6-374 (IL) Primary

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License 0002865 (IL) Secondary

Authorized official

Name Bruce Fitzpatrick

Title President

Phone (815) 472-3700

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-03-17. Verify at npiregistry.cms.hhs.gov.

Where is Good Shepherd Manor, Inc located?

The practice location on file with NPPES is in Momence, IL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-17.