THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1992789523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992789523 |
| Entity Type | Organization |
| Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Other Organization Name | GOOD SAMARITAN SOCIETY - LODI |
| Practice Address |
700 Clark St Lodi WI 53555-1010 |
| Mailing Address |
4800 West 57th Street P.o. Box 5038 Sioux Falls SD 57117-5038 |
| Practice Telephone | 6085923241 |
| Practice Fax Number | 6085923293 |
| Mailing Telephone | 6053623100 |
| Mailing Fax Number | 6053623265 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-07-31 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20150000 | 05 | |
| WI | DEAN HEALTH PLAN | 553711 | 01 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Society - Lodi | 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 |
| Street Address |
700 CLARK ST |
| City | LODI |
| State | WI |
| Zip Code | 53555-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643123 | Divine Rehabilitation and Nursing At Lodi LLC | Skilled Nursing Facility | 700 Clark St, Lodi, WI 53555-1010 | 2019-01-30 |
| 1467719203 | Colleen R Jones | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2012-04-18 |
| 1851545966 | Jean Elizabeth Gates | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2008-11-17 |
| 1376743385 | Marcie Marie Wenzel | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| 1255531190 | Michelle Marie Kaschinske | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722208 | Cara Kjorlie | Licensed Practical Nurse | W12277 Cty J, Lodi, WI 53555 | 2019-10-28 |
| 1437282795 | Perry Allen Barrette | Dentist | 204 Pond St, Lodi, WI 53555 | 2007-03-14 |
| 1467417576 | Rian J Podein | Family Medicine | 160 Valley Drive, Lodi, WI 53555 | 2006-04-20 |
| 1285828749 | Lodi School District | Local Education Agency (LEA) | 115 School St, Lodi, WI 53555-1046 | 2007-08-28 |
| 1639467343 | Marcia L Schaefer | Chiropractor | 602 Corner St, Lodi, WI 53555-1109 | 2011-07-14 |
| 1437223880 | Burlage Chiropractic Wellness Center LLC | Chiropractor | 602a Corner St, Lodi, WI 53555-1109 | 2006-11-19 |
| 1205104023 | Spring Creek Family Chiropractic LLC | Chiropractor | 602 Corner St, Lodi, WI 53555-1109 | 2011-12-07 |
| 1861694929 | Lodi Valley Gentle Dental LLP | Clinic/Center | 216 S Main St, Lodi, WI 53555-1121 | 2007-06-01 |
| 1093814659 | Gene Richard Sorensen | Dentist | 216 S Main St, Lodi, WI 53555-1121 | 2006-09-21 |
| 1740389238 | Joel Patrick Crane | Dentist | 216 S Main St, Lodi, WI 53555-1121 | 2006-09-21 |
| Find all providers in zip 53555 | ||||
| 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 |
|---|---|---|---|---|
| 1659398576 | Pleasant Care Corporation | Skilled Nursing Facility | 900 N Church St, Lodi, CA 95240-1282 | 2006-07-16 |
| 1942256391 | Lodi Skilled Nursing Services, Inc. | Skilled Nursing Facility | 950 S Fairmont Ave, Lodi, CA 95240 | 2006-05-26 |
| 1851392500 | Delta Skilled Nursing Center, Inc. | Skilled Nursing Facility | 1334 S Ham Ln, Lodi, CA 95242-3903 | 2005-08-03 |
| 1144221896 | Bechthold Convalescent Hospital, Inc | Skilled Nursing Facility | 610 S Fairmont Ave, Lodi, CA 95240-3835 | 2005-08-03 |
| 1053311225 | Gross Convalescent Hospital, Inc | Skilled Nursing Facility | 321 W Turner Rd, Lodi, CA 95240-0517 | 2005-07-28 |
| 1972501823 | Vienna Convalescent Hospital, Inc. | Skilled Nursing Facility | 800 S Ham Ln, Lodi, CA 95242-3543 | 2005-07-13 |
| 1619531258 | English Channel Holdings LLC | Skilled Nursing Facility | 321 W Turner Rd, Lodi, CA 95240-0517 | 2019-04-29 |
| 1730643123 | Divine Rehabilitation and Nursing At Lodi LLC | Skilled Nursing Facility | 700 Clark St, Lodi, WI 53555-1010 | 2019-01-30 |
| 1992128904 | Consonus Healthcare | Skilled Nursing Facility | 800 S Ham Ln, Lodi, CA 95242-3543 | 2014-01-27 |
| 1396986436 | Covenant Care Lodi, LLC | Skilled Nursing Facility | 900 N Church St, Lodi, CA 95240-1282 | 2009-03-19 |
| Find all providers in LODI | ||||
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.