THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1245212240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245212240 |
| Entity Type | Organization |
| Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Other Organization Name | GOOD SAMARITAN SOCIETY - EUGENE VILLAGE |
| Practice Address |
3500 Hilyard St Eugene OR 97405-3867 |
| Mailing Address |
Po Box 5038 Sioux Falls SD 57117-5038 |
| Practice Telephone | 5416879211 |
| Practice Fax Number | 5416879687 |
| Mailing Telephone | 6053623100 |
| Mailing Fax Number | 6053623265 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2012-12-28 |
| 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 |
|---|---|---|---|
| OR | 800813 | 05 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Society - Eugene Village | 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 |
3500 HILYARD ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194386102 | Amy Hickson | Occupational Therapist | 3500 Hilyard St, Eugene, OR 97405-3867 | 2019-06-21 |
| 1811456452 | Jenna Carlson | Occupational Therapist | 3500 Hilyard St, Eugene, OR 97405-3867 | 2019-03-13 |
| 1114495892 | Kimberly Anne | Registered Nurse | 3500 Hilyard St, Eugene, OR 97405-3867 | 2018-11-11 |
| 1184190258 | Charity Iheanacho | Physical Therapist | 3500 Hilyard St, Eugene, OR 97405-3867 | 2018-10-16 |
| 1497271555 | Flora M Bond | Physical Therapy Assistant | 3500 Hilyard St, Eugene, OR 97405-3867 | 2017-08-20 |
| 1467975128 | Laurie Geiger | Physical Therapy Assistant | 3500 Hilyard St, Eugene, OR 97405-3867 | 2017-07-24 |
| 1558739102 | Paul Charles Shoemaker | Physical Therapist | 3500 Hilyard St, Eugene, OR 97405-3867 | 2015-09-11 |
| 1518342948 | William Wade Whittington | Physical Therapy Assistant | 3500 Hilyard St, Eugene, OR 97405-3867 | 2015-07-27 |
| 1689929465 | Marla Therese Havens | Physical Therapy Assistant | 3500 Hilyard St, Eugene, OR 97405-3867 | 2012-07-18 |
| 1336122779 | The Evangelical Lutheran Good Samaritan Society | Home Health | 3500 Hilyard St, Eugene, OR 97405-3867 | 2005-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| 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 |
|---|---|---|---|---|
| 1932258563 | Cascade Manor, Inc. | Skilled Nursing Facility | 65 W. 30th Ave., Eugene, OR 97405-3373 | 2007-01-10 |
| 1699719450 | Eugene Rehabilitation, Inc. | Skilled Nursing Facility | 2360 Chambers St, Eugene, OR 97405-1861 | 2006-06-15 |
| 1467490144 | Riverpark Operations, LLC | Skilled Nursing Facility | 425 Alexander Loop, Eugene, OR 97401-6524 | 2006-06-03 |
| 1083669105 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 2300 Warren St, Eugene, OR 97405-1116 | 2006-05-24 |
| 1255338398 | Green Valley, LLC | Skilled Nursing Facility | 1735 Adkins St, Eugene, OR 97401-5003 | 2005-07-05 |
| 1033116173 | Hillside Heights, LLC | Skilled Nursing Facility | 1201 Mclean Blvd, Eugene, OR 97405-1979 | 2005-07-05 |
| 1053852327 | Valley West Operations, LLC | Skilled Nursing Facility | 2300 Warren St, Eugene, OR 97405-1116 | 2017-03-20 |
| 1114470119 | Avalon Health Care - South Hills, LLC | Skilled Nursing Facility | 1166 E 28th Ave, Eugene, OR 97403-1615 | 2016-07-27 |
| 1922551829 | Avalon Health Care - Hillside Heights, LLC | Skilled Nursing Facility | 1201 Mclean Blvd, Eugene, OR 97405-1979 | 2016-07-27 |
| 1023561024 | Avalon Health Care - Green Valley, LLC | Skilled Nursing Facility | 1735 Adkins St, Eugene, OR 97401-5003 | 2016-07-27 |
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| 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.