THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1275673816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275673816 |
| Entity Type | Organization |
| Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Other Organization Name | CANTON GOOD SAMARITAN CENTER |
| Practice Address |
1022 N Dakota St Canton SD 57013-1004 |
| Mailing Address |
4800 W 57th St Sioux Falls SD 57108-2239 |
| Practice Telephone | 6059872696 |
| Practice Fax Number | 6059874198 |
| Mailing Telephone | 6053623100 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. RAYE NAE NYLANDER (VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 6053623100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9570270 | 05 |
| Other Name | Type Code |
|---|---|
| Canton Good Samaritan Center | 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 |
1022 N DAKOTA ST |
| City | CANTON |
| State | SD |
| Zip Code | 57013-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544482 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 1022 N Dakota St, Canton, SD 57013-1004 | 2005-11-08 |
| 1093294787 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 1022 N Dakota St, Canton, SD 57013-1004 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275687741 | Melissa Brandner | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1699841064 | Canton School District | Local Education Agency (LEA) | 800 N Main, Canton, SD 57013 | 2006-11-28 |
| 1033140454 | Sanford Health Network | Clinical Nurse Specialist | 400 N Hiawatha Drive, Canton, SD 57013 | 2006-07-05 |
| 1669440434 | Chad Lane Tieszen | Chiropractor | 128 N Dakota St, Canton, SD 57013 | 2006-03-09 |
| 1245780717 | Chanesse Schaefer | Physician Assistant | 400 N Hiawatha Dr, Canton, SD 57013 | 2016-10-09 |
| 1497955769 | Amy M Olderbak | Occupational Therapist | 440 N Hiawatha Dr, Canton, SD 57013 | 2007-07-24 |
| 1245384718 | Gordon Schulte | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1134273600 | Dr. Gordon D Schulte PC | Dentist | 1110 W 5th St, Canton, SD 57013 | 2007-01-22 |
| 1790184547 | Cedar Mobility LLC | Non-emergency Medical Transport (VAN) | 402 E Poplar Dr, Canton, SD 57013-1024 | 2014-08-18 |
| 1588165401 | Emily Honken | Specialist/Technologist | 800 N Main St, Canton, SD 57013-1213 | 2018-02-26 |
| Find all providers in zip 57013 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100412 | Forever Harmony PCh Inc | Assisted Living Facility | 205 Providence Walk Ct, Canton, GA 30114-8622 | 2020-09-28 |
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1578118451 | Embrace Group Home LLC | Assisted Living Facility | 6934 N Canton Center Rd, Canton, MI 48187-1647 | 2019-08-07 |
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1831626266 | Stone Crossing Assisted Living, LLC | Assisted Living Facility | 820 34th St Nw, Canton, OH 44709-2966 | 2017-05-16 |
| 1922533736 | C&y Homes, Inc. | Assisted Living Facility | 3616 Rolling Ridge Rd Ne, Canton, OH 44721-3029 | 2017-04-30 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1689901563 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1119 Perry Dr Nw, Canton, OH 44708-3374 | 2009-11-12 |
| 1164689766 | Ann Davis Rest Home | Assisted Living Facility | 460 Beaverdam St, Canton, NC 28716 | 2008-05-21 |
| 1932383973 | Petersen Health Care, Inc. | Assisted Living Facility | 160 East Walnut Street, Canton, IL 61520-2708 | 2007-12-27 |
| Find all providers in CANTON | ||||
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| 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.