THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1669890653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669890653 |
| Entity Type | Organization |
| Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Other Organization Name | GOOD SAMARITAN SOCIETY - PARK RIVER |
| Practice Address |
301 County Road 12b Park River ND 58270-4134 |
| Mailing Address |
Po Box 5038 Sioux Falls SD 57117-5038 |
| Practice Telephone | 7012847115 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |
| Authorized Official Name | RAYE NAE NYLANDER (EXECUTIVE VP) |
| 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 |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30788 | 05 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Society - Park River | 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 |
301 COUNTY ROAD 12B |
| City | PARK RIVER |
| State | ND |
| Zip Code | 58270-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635496 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 301 County Road 12b, Park River, ND 58270-4134 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769595 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 301 S Highway 12b, Park River, ND 58270 | 2018-08-13 |
| 1104317189 | Paul Benedict Dusek | Dentist | 321 Briggs Ave S Ste 3, Park River, ND 58270 | 2018-05-24 |
| 1669880845 | Lifetime Dental, PC | Clinic/Center | 321 Briggs Ave S, Suite 3, Park River, ND 58270 | 2014-07-31 |
| 1063850436 | Achieve Therapy LLC | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2013-06-07 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1285847269 | Brian James Larson | Dentist | 418 Briggs Ave S, Park River, ND 58270 | 2007-05-07 |
| 1033137070 | Roberta L Ekman | Dentist | 321 Briggs Ave, Park River, ND 58270 | 2006-07-17 |
| 1679128664 | Lyndsi E Klundt | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2019-08-06 |
| 1508426735 | Allie Beneda | Physical Therapy Assistant | 115 Vivian St., Park River, ND 58270 | 2019-06-19 |
| 1770795767 | Laurelyn Joann Larson | Pharmacist | Highway 17, Park River, ND 58270 | 2007-05-04 |
| Find all providers in zip 58270 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174938773 | Manor St Joseph | Nursing Facility/Intermediate Care Facility | 404 4th Ave, Edgeley, ND 58433-7417 | 2014-06-23 |
| 1871903203 | Edmore Memorial Rest Home | Nursing Facility/Intermediate Care Facility | 301 E 4th Ave, Edmore, ND 58330-0217 | 2014-05-07 |
| 1992130389 | Rehab Visions | Nursing Facility/Intermediate Care Facility | 1831 29th St W, Williston, ND 58801-2309 | 2013-09-04 |
| 1366772105 | Dakota Pointe | Nursing Facility/Intermediate Care Facility | 3503 43rd St Nw, Mandan, ND 58554 | 2009-12-29 |
| 1346409729 | The Evangelical Lutheran Good Samaritan Society | Nursing Facility/Intermediate Care Facility | 705 4th Se, Crosby, ND 58730-3325 | 2008-06-02 |
| 1194939363 | Kensington Williston | Nursing Facility/Intermediate Care Facility | 1001 24th St W, Williston, ND 58801-3245 | 2007-05-09 |
| 1649363144 | Developmental Center Pharmacy | Nursing Facility/Intermediate Care Facility | 701 West 6th Street, Grafton, ND 58237 | 2006-10-02 |
| 1518911700 | Missouri Slope Lutheran Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 2425 Hillview Ave, Bismarck, ND 58501-3056 | 2006-05-20 |
| 1861470429 | Four Seasons Healthcare Center Inc | Nursing Facility/Intermediate Care Facility | 483 4th St Sw, Forman, ND 58032-4210 | 2006-01-04 |
| 1699757005 | The Evangelical Lutheran Good Samaritan Society | Nursing Facility/Intermediate Care Facility | 301 Main Ave, Noonan, ND 58765-0069 | 2005-11-19 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIVER |
| Zip Code | 58270 |
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.