THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1942424940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942424940 |
| Entity Type | Organization |
| Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Other Organization Name | FORT COLLINS GOOD SAMARITAN |
| Practice Address |
508 W Trilby Rd Fort Collins CO 80525-4054 |
| Mailing Address |
4800 W 57th St Sioux Falls SD 57108-2239 |
| Practice Telephone | 9702264909 |
| Practice Fax Number | 9702266976 |
| Mailing Telephone | 6053623100 |
| Enumeration Date | 2007-04-12 |
| 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 |
|---|---|---|---|
| CO | 05651260 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Collins Good Samaritan | 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 |
508 W TRILBY RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012690 | Michael Webster | Physical Therapist | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2018-11-15 |
| 1811479264 | Theresa Lynn Wilson | Occupational Therapist | 508 W Trilby Rd, Fort Collins, CO 80526 | 2018-09-02 |
| 1366783425 | Shirley K Peters | Physical Therapy Assistant | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2013-03-13 |
| 1215245998 | Christine Ann Forseth | Physical Therapy Assistant | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2010-09-16 |
| 1225283112 | Bob Wayne Goodman Jr. | Physical Therapist | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2008-11-19 |
| 1194974899 | Janet J Tucay | Physical Therapist | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2008-09-17 |
| 1942463369 | Sharyl Sullivan | Physical Therapy Assistant | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2008-07-07 |
| 1538331764 | Nikole Renee Johns | Occupational Therapist | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2008-03-27 |
| 1194994418 | Sasha Aylise Foster | Physical Therapist | 508 W Trilby Rd, Pt Department, Fort Collins, CO 80525-4054 | 2008-02-21 |
| 1871779603 | Gail Leslie Hartwig | Physical Therapist | 508 W Trilby Rd, Fort Collins, CO 80525-4054 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1104447978 | Northern Colorado Living Solutions | Assisted Living Facility | 4021 Spruce Dr, Fort Collins, CO 80526-1059 | 2020-05-02 |
| 1740823608 | A Home for Life, Inc | Assisted Living Facility | 1725 Lakeview Dr, Fort Collins, CO 80524-1938 | 2019-10-23 |
| 1326582891 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1008 Rule Dr, Fort Collins, CO 80525-6731 | 2016-12-18 |
| 1437693462 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1002 Rule Dr, Fort Collins, CO 80525-6732 | 2016-12-09 |
| 1225401490 | Residence At Oakridge, LLC | Assisted Living Facility | 4750 Wheaton Dr, Fort Collins, CO 80525-9481 | 2015-11-10 |
| 1447383377 | The Worthington, Inc | Assisted Living Facility | 900 Centre Ave, Fort Collins, CO 80526-1848 | 2007-03-13 |
| 1902946734 | Bethesda Foundation | Assisted Living Facility | 5055 S Lemay Ave, Fort Collins, CO 80525-9401 | 2007-02-08 |
| 1609410380 | Center At Rock Creek, LLC | Assisted Living Facility | 4880 Ziegler Rd, Fort Collins, CO 80528-9007 | 2019-11-05 |
| 1659856938 | The Courtyard At Rncr | Assisted Living Facility | 1020 Patton St, Fort Collins, CO 80524-4018 | 2018-10-02 |
| 1528591690 | Ssc Fort Collins Spring Creek Operating Company LLC | Assisted Living Facility | 1000 E Stuart St, Fort Collins, CO 80525-1555 | 2017-04-06 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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.