THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


Address: 1332 10th St Ne, Devils Lake, ND 58301-2329
Phone: 7016621800

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1689942609) 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) 1689942609
Entity Type Organization
Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name GOOD SAMARITAN SOCIETY - DEVILS LAKE LAKE COUNTRY MANOR
Practice Address 1332 10th St Ne
Devils Lake
ND 58301-2329
Mailing Address 4800 W 57th St
Sioux Falls
SD 57108-2239
Practice Telephone 7016621800
Practice Fax Number 7016621084
Enumeration Date 2011-12-05
Last Update Date 2016-02-12
Authorized Official Name RAYE NAE NYLANDER (VP)
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
Y 311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Good Samaritan Society - Devils Lake Lake Country Manor 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 1332 10TH ST NE
City DEVILS LAKE
State ND
Zip Code 58301-2329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619536976 Lake Region Lutheran Home, Inc. Assisted Living Facility 1332 10th St Ne, Devils Lake, ND 58301-2329 2019-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578187977 Mark Christian Beatty Social Worker 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 2020-06-01
1841837663 Wayne Rance Pharmacist 323 5th St Ne Ste 2, Devils Lake, ND 58301 2019-12-01
1639427792 Donna Rance Pharmacist Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 2012-08-21
1356603997 Stephanie Ann Foughty Family Medicine 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 2012-06-11
1245534668 Altru Specialty Services, Inc. Durable Medical Equipment & Medical Supplies 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 2010-12-28
1780830208 Steven L Pederson Physical Therapist 404 Fourth Street N, Devils Lake, ND 58301 2008-08-15
1437368768 Leatha N Vaagen Physical Therapist 404 Fourth Street North, Devils Lake, ND 58301 2007-05-22
1770634479 Becky Fletschock Pharmacist Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 2007-01-16
1518047570 The Evangelical Lutheran Good Samaritan Society Custodial Care Facility 302 7th Ave, Devils Lake, ND 58301 2006-10-16
1679591929 Emergency Ambulance of Devils Lake Ambulance 314 2nd Ave Se, Devils Lake, ND 58301 2006-07-17
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Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588079156 The Odd Fellows and Rebekah Home of North Dakota Inc. Custodial Care Facility 1107 Walnut St E, Devils Lake, ND 58301-3240 2014-06-23
1518047570 The Evangelical Lutheran Good Samaritan Society Custodial Care Facility 302 7th Ave, Devils Lake, ND 58301 2006-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548803265 The Baptist Apartments Inc Dba Prairie Pointe Custodial Care Facility 3330 Nebraska Dr, Bismarck, ND 58503-1663 2019-10-25
1295142784 Dakota Hill Housing Corporation Custodial Care Facility 606 Dakota St N, Elgin, ND 58533-7157 2014-07-16
1518373224 St. Anne's Guest Home Custodial Care Facility 524 N 17th St, Grand Forks, ND 58203-3085 2014-07-02
1578998753 Borg Pioneer Memorial Home Custodial Care Facility 61 Borg Dr, Mountain, ND 58262-6201 2013-09-06
1487929089 The Leach Home Custodial Care Facility 714 4th St N, Wahpeton, ND 58075-3939 2012-03-14
1134437932 Golden Manor Inc Custodial Care Facility 214 4th Street Nw, Steele, ND 58482-7317 2010-09-15
1831420348 Sanford-good Samaritan Community Health Services, LLC Custodial Care Facility 316 Versailles Ave, Bismarck, ND 58503-0390 2010-01-22
1962673608 The Evangelical Lutheran Good Samaritan Society Custodial Care Facility 4502 37th Ave S, Fargo, ND 58104-7599 2008-03-21
1316143175 Evergreen Dickinson, LLC Custodial Care Facility 2143 6th Ave W, Dickinson, ND 58601-2700 2007-06-26
1245441344 Walhalla Community Hospital Association Custodial Care Facility 500 Delano Ave, Walhalla, ND 58282-4637 2007-05-24
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Competitor

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City DEVILS LAKE
Zip Code 58301

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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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