THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1215927611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215927611 |
| Entity Type | Organization |
| Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Other Organization Name | GOOD SAMARITAN SOCIETY - STILLWATER |
| Practice Address |
1119 Owens St N Stillwater MN 55082-4316 |
| Mailing Address |
Po Box 5038 Sioux Falls SD 57117-5038 |
| Practice Telephone | 6514397180 |
| Practice Fax Number | 6514394502 |
| Mailing Telephone | 6053623100 |
| Mailing Fax Number | 6053623265 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | MS. RAYE NAE NYLANDER (CFO) |
| Authorized Official Telephone | 6053623100 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 722519900 | 05 | |
| MN | UCARE OF MN | NH0127 | 01 |
| MN | PMAP MEDICA | 7100094 | 01 |
| MN | PREFERRED ONE EQUALIZATIO | 1026665 | 01 |
| MN | PMAP BLUE PLUS | 5A24ST | 01 |
| MN | MEDICA | 7111789 | 01 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Society - Stillwater | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497217251 | The Evangelical Lutheran Good Samaritan Society | In Home Supportive Care | 45-090 Namoku St. Cottage H, Kaneohe, HI 96744 | 2019-04-02 |
| 1851853816 | The Evangelical Lutheran Good Samaritan Society | In Home Supportive Care | 1415 Lilac Dr N Ste 260, Golden Valley, MN 55422-4545 | 2019-04-01 |
| 1740769595 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 301 S Highway 12b, Park River, ND 58270 | 2018-08-13 |
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1780186536 | The Evangelical Lutheran Good Samaritan Society | In Home Supportive Care | 1217 Ne Burnside Rd Ste 704, Gresham, OR 97030-5770 | 2018-03-07 |
| 1881112290 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 4825 Jericho Way, Rapid City, SD 57702-9694 | 2017-09-06 |
| 1982154993 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 216 Samaritan Cir, Belington, WV 26250-8141 | 2016-10-13 |
| 1659725364 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 400 S Mckinley St, Warren, MN 56762-1439 | 2016-04-19 |
| 1649640236 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 | 2015-09-25 |
| 1760861975 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1051 Mulberry Street, Taylors Falls, MN 55084 | 2015-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 4800 West 57th Street,p.o. Box 5038, Sioux Falls, SD 57117-5038 |
| Oregon Corporations, Companies and Business Names | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 4800 West 57th Street, Sioux Falls, SD 57117 |
| Iowa Business Entities | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Cothe Evangelical Lutheran Good Samaritan Society, 4800 West 57th Streetp.o. Box 5038, Sioux Falls, SD 57117 |
| Ohio Business Entities | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 4800 West 57th Street, Po Box 5038, Sioux Falls, SD 57117-5038 |
| Indiana Business Entities | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Po Box 5038, 4800 West 57th Street, Sioux Falls, SD 57117-5038 |
| Oklahoma Business Registrations | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | The, 1000 W. Avenue North, Sioux Falls, SD 57104-0000 |
| Street Address |
1119 OWENS ST N |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653559 | Anna Rose Williams | Physical Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2019-08-09 |
| 1023559549 | Rachel Marshall | Speech-Language Pathologist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2017-03-16 |
| 1740730795 | Joan Palen | Physical Therapist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-10-13 |
| 1881046233 | Kelsey Mackereth | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-07-11 |
| 1922458603 | Tracy Lee Chapman | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-06-14 |
| 1265889810 | Sandra Severin | Occupational Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-05-24 |
| 1629430418 | Leah Schminkey | Occupational Therapist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2016-03-22 |
| 1558749002 | Kimberly Dixon | Physical Therapy Assistant | 1119 Owens St N, Stillwater, MN 55082-4316 | 2015-05-15 |
| 1912393521 | Rachel Wieneke | Speech-Language Pathologist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2015-04-09 |
| 1801292495 | Leigha Anderson | Occupational Therapist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689126138 | Cherish Life Services | Skilled Nursing Facility | 1110 E 4th Ave, Stillwater, OK 74074-3808 | 2016-11-01 |
| 1023113826 | Stillwater Nursing Center LLC | Skilled Nursing Facility | 1215 W 10th Ave, Stillwater, OK 74074-5420 | 2006-09-14 |
| 1023069119 | Ggnsc Stillwater Linden LLC | Skilled Nursing Facility | 105 Linden St W, Stillwater, MN 55082-4822 | 2006-05-13 |
| 1811948250 | Ggnsc Stillwater Greeley LLC | Skilled Nursing Facility | 313 Greeley St S, Stillwater, MN 55082-7007 | 2006-05-12 |
| 1851376370 | Bonnieville Inc. | Skilled Nursing Facility | 477 Bonnieville Rd, Stillwater, PA 17878-9211 | 2005-12-07 |
| 1912906694 | N&r of Westhaven L L C | Skilled Nursing Facility | 1215 S Western Rd, Stillwater, OK 74074-5151 | 2005-07-15 |
| 1871031344 | Estates At Greeley LLC | Skilled Nursing Facility | 313 Greeley St S, Stillwater, MN 55082-7007 | 2017-02-05 |
| 1598203069 | Estates At Linden LLC | Skilled Nursing Facility | 105 Linden St W, Stillwater, MN 55082-4822 | 2017-02-05 |
| 1154670347 | Synertec | Skilled Nursing Facility | 1119 Owens St N, Stillwater, MN 55082-4316 | 2012-09-03 |
| 1407828908 | Stillwater Medical Center Authority | Skilled Nursing Facility | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-02-07 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.