MEDICARE: GOOD SHEPHERD GERIATRIC CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1013896653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SHEPHERD GERIATRIC CENTER INC

Provider Business Mailing Address
First Line	:	302 2ND ST NE
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-3412
Country	:	US
Telephone Number	:	641-450-5095
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 S PIERCE AVE
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-2748
Country	:	US
Telephone Number	:	641-513-8222
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MICHELLE HORST
Credential	:
Telephone Number	:	641-424-1740

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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Directions to “GOOD SHEPHERD GERIATRIC CENTER INC ” Practice Location

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