SOURIS VALLEY CARE CENTER, INC. (NPI# 1306821087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306821087 |
| Entity Type | Organization |
| Organization Name | SOURIS VALLEY CARE CENTER, INC. |
| Other Organization Name | SOURIS VALLEY CARE CENTER |
| Practice Address |
300 Main St S Velva ND 58790-7342 |
| Practice Telephone | 7013382072 |
| Practice Fax Number | 7013382031 |
| Mailing Telephone | 7013382072 |
| Mailing Fax Number | 7013382031 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-04-18 |
| Authorized Official Name | MS. RAYE NAE B NYLANDER (CFO, EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 6053623100 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | Y |
| Parent Organization Name | EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 025 | ND | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 1091A | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 000030216 | 05 | |
| ND | BCBS MD- CI | 8144 | 01 |
| Other Name | Type Code |
|---|---|
| Souris Valley Care Center | Doing Business As Name - Organization |
| Street Address |
300 MAIN ST S |
| City | VELVA |
| State | ND |
| Zip Code | 58790-7342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588646277 | Souris Valley Care Center | Skilled Nursing Facility | 300 Main St S, Velva, ND 58790-7342 | 2005-11-17 |
| 1770873374 | Kelsey Ann Bowerman | Occupational Therapist | 300 Main St S, Velva, ND 58790-7342 | 2011-04-15 |
| 1679700595 | Rachelle Breann Duerre | Speech-Language Pathologist | 300 Main St S, Souris Valley Care Center, Velva, ND 58790-7342 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265700850 | Sara Jayne Klein | Chiropractor | 8 Hwy 52 E, Velva, ND 58790 | 2011-12-09 |
| 1881782225 | Demaris A Fitzpatrick | Physician Assistant | 111 W 1st Street, Velva, ND 58790 | 2006-10-11 |
| 1376646315 | Velva Drug Company | Pharmacy | 16 N. Main St, Velva, ND 58790 | 2006-09-06 |
| 1639277056 | Bonnie Jean Thom | Pharmacist | 16 N Main, Velva, ND 58790-0010 | 2006-09-20 |
| 1013354018 | Kendra L Larsen | Nurse Practitioner | 111 W. 1st Street, Trinity Community Clinic-velva, Velva, ND 58790-0070 | 2013-05-30 |
| 1831288968 | Velva Ambulance Service Inc. | Ambulance | 105 1st Street West, Velva, ND 58790-0231 | 2006-10-12 |
| 1780817858 | Kim A Thorson | Nurse Practitioner | 111 1st St W, Velva, ND 58790-7018 | 2009-08-24 |
| 1821636093 | Tracy Krueger | Pharmacist | 16 Main St N, Velva, ND 58790-7303 | 2019-12-18 |
| 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 |
|---|---|---|---|---|
| 1588646277 | Souris Valley Care Center | Skilled Nursing Facility | 300 Main St S, Velva, ND 58790-7342 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033997 | Oluwakemi Isokpan | Skilled Nursing Facility | 1323 Legion Ln W, West Fargo, ND 58078-8523 | 2019-09-29 |
| 1164809562 | Eventide Fargo LLC | Skilled Nursing Facility | 3225 51st St S, Fargo, ND 58104-7180 | 2015-05-05 |
| 1841691789 | Tufte Manor | Skilled Nursing Facility | 3300 Cherry St, Grand Forks, ND 58201-7634 | 2014-09-10 |
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1427371889 | Benedictine Living Communities-bismarck, Inc. | Skilled Nursing Facility | 4580 Coleman Street, Bismarck, ND 58503-0347 | 2010-03-12 |
| 1508197013 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 301 Lorrain Dr, Bismarck, ND 58503-0311 | 2010-01-22 |
| 1144485608 | Villa Maria | Skilled Nursing Facility | 3102 University Dr S, Fargo, ND 58103-6004 | 2008-07-24 |
| 1477737625 | Pat Sitzer | Skilled Nursing Facility | 751 1st St., Pat Sizer, Minto, ND 58261 | 2007-12-24 |
| 1205041985 | Benedictine Living Center of Garrison | Skilled Nursing Facility | 609 Fourth Ave Ne, Garrison, ND 58540-0219 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOURIS VALLEY CARE CENTER, INC..
| 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.