THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


Address: 500 Vermillion St, Centerville, SD 57014-2168
Phone: 6055632251

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1881684637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881684637
Entity Type Organization
Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name GOOD SAMARITAN SOCIETY - CENTERVILLE
Practice Address 500 Vermillion St
Centerville
SD 57014-2168
Mailing Address Po Box 5038
Sioux Falls
SD 57117-5038
Practice Telephone 6055632251
Practice Fax Number 6055632636
Mailing Telephone 6053623100
Mailing Fax Number 6053623265
Enumeration Date 2005-10-24
Last Update Date 2008-05-05
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BN1400X Durable Medical Equipment & Medical Supplies
Specialization: Nursing Facility Supplies
Suppliers
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
Suppliers
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
SD 0160470 05
SD BLUE CROSS BLUE SHIELD 85088 01

Other Provider/Organization Names

Other Name Type Code
Good Samaritan Society - Centerville Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 500 VERMILLION ST
City CENTERVILLE
State SD
Zip Code 57014-2168

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760042329 Justine Katherine Sanderson Occupational Therapy Assistant 500 Vermillion St, Centerville, SD 57014-2168 2019-06-17
1417445230 Centerville Care & Rehab Center Inc Skilled Nursing Facility 500 Vermillion St, Centerville, SD 57014-2168 2018-04-26
1942675152 Courtney Blake Occupational Therapist 500 Vermillion St, Centerville, SD 57014-2168 2015-12-14
1205216082 Jake Broscha Physical Therapy Assistant 500 Vermillion St, Centerville, SD 57014-2168 2015-06-05
1669868352 Megan Walding Physical Therapist 500 Vermillion St, Centerville, SD 57014-2168 2015-04-09
1154743516 Kalli Price Occupational Therapy Assistant 500 Vermillion St, Centerville, SD 57014-2168 2014-01-20
1518300235 Centerville Development Corporation Skilled Nursing Facility 500 Vermillion St, Centerville, SD 57014-2168 2013-04-11
1669643706 Michelle Lea Nelson Physical Medicine & Rehabilitation 500 Vermillion St, Centerville, SD 57014-2168 2008-03-17
1003956202 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 500 Vermillion St, Centerville, SD 57014 2007-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477081743 Lewis Family Drug, LLC Pharmacy 513 Broadway St, Centerville, SD 57014 2017-05-31
1518062629 Pioneer Memorial Hospital and Health Services Pharmacy 513 Broadway, Centerville, SD 57014 2006-09-13
1508969569 Cody D Carstensen Pharmacist 512 Broadway, Centerville, SD 57014 2006-09-06
1528017662 Pioneer Memorial Hospital &health Services Clinic/Center 512 Broadway, Centerville, SD 57014-0070 2006-05-08
1417284928 Candace L Verdoorn Nurse Practitioner 512 Broadway, Centerville, SD 57014-0070 2009-11-05
1043313950 Lavonne Isaak Pharmacy Technician 512 Broadway, Centerville, SD 57014-0070 2006-09-06
1134129836 Centerville Community Ambulance Service, Inc. Ambulance 800 Main Street, Box 181, Centerville, SD 57014-0181 2005-07-26
1922023944 Justin Delzer Chiropractor 540 Broadway, Centerville, SD 57014-0271 2006-07-12
1407181001 Centerville School District 60-01 Local Education Agency (LEA) 610 Lincoln St, Centerville, SD 57014-2040 2009-10-15
1720605397 Bruce Adam Bennett Registered Nurse 610 Lincoln St, Centerville, SD 57014-2040 2020-06-30
Find all providers in zip 57014

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740770197 Social Row Transitional Care, Inc. Skilled Nursing Facility 250 West Social Row Road, Centerville, OH 45458 2018-05-11
1821450206 Chi Living Communties Skilled Nursing Facility 1050 St. Leonard Way, Centerville, OH 45458 2016-03-24
1467813030 Chi Living Communities Skilled Nursing Facility 1203 Schervier Ct, Centerville, OH 45458-2778 2016-03-10
1992977516 Otterbein Clearcreek, LLC Skilled Nursing Facility 9320 Avalon Circle, Centerville, OH 45458 2008-03-25
1326074402 Centerville Medical Investors, LLC Skilled Nursing Facility 112 Old Dickson Road, Centerville, TN 37033 2006-06-23
1801836655 Heartland of Centerville Oh LLC Skilled Nursing Facility 1001 E Alex Bell Rd, Centerville, OH 45459-2637 2006-06-08
1851361406 Care Initiatives Skilled Nursing Facility 1208 E Cross St, Centerville, IA 52544-3501 2006-01-25
1942299185 Cape Regency Ma Snf LLC Skilled Nursing Facility 120 South Main Street, Centerville, MA 02632 2005-10-20
1295722015 Centerville Healthcare Center Skilled Nursing Facility 103 Teakwood, Centerville, TX 75833-2497 2005-10-06
1417445230 Centerville Care & Rehab Center Inc Skilled Nursing Facility 500 Vermillion St, Centerville, SD 57014-2168 2018-04-26
Find all providers in CENTERVILLE

Competitor

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City CENTERVILLE
Zip Code 57014

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Dataset Information

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.

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