Good Samaritan Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

029352 Issued in MO

Legal business name

GOOD SAMARITAN NURSING HOME

Doing business as

Good Samaritan Care Center

Practice address

403 W Main St
Cole Camp, MO 65325-1144

Phone

(660) 668-4515

Fax

(660) 668-4975

NPI assigned

Aug 10, 2005

Last updated

Dec 15, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Donna Nell Stelling

Title

Administrator

Phone

(660) 668-4515

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Samaritan Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003817248. Details of each certification follow.

• CCN 265770 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265770

Legal name

GOOD SAMARITAN NURSING HOME

Doing business as

GOOD SAMARITAN CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 2003

Last certification

Sep 6, 2024

Beds

72

Ownership / control type

County

Organization structure

OtherNon-profit

Enrollment address

403 W Main St
Cole Camp, MO 65325-1144

Nursing home name

GOOD SAMARITAN CARE CENTER

Listed as

Good Samaritan Care CenterCCN 265770 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Dec 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7248.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Matthew David Roehrs, DO

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1740774157

  Adp of the SNF, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew David Roehrs, DO

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1740774157
  NPD (past)
• Misty Faye Todd, M.D.

  • Family Medicine Physician
  • Cole Camp, MO
  • NPI 1851820021
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pamela Sue Eckhoff, DNP, FNP-BC

  • Family Nurse Practitioner
  • Cole Camp, MO
  • NPI 1760834774

  Nursing home

  Care Compare affiliation
• Douglas W Kiburz, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sedalia, MO
  • NPI 1487623260

  Nursing home

  Care Compare affiliation
• Matthew David Roehrs, DO

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1740774157

  Nursing home

  Care Compare affiliation
• Misty Faye Todd, M.D.

  • Family Medicine Physician
  • Cole Camp, MO
  • NPI 1851820021

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1003817248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W MAIN ST",
            "city": "COLE CAMP",
            "state": "MO",
            "postal_code": "653251144",
            "telephone_number": "660-668-4515",
            "fax_number": "660-668-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W MAIN ST",
            "city": "COLE CAMP",
            "state": "MO",
            "postal_code": "653251144",
            "telephone_number": "660-668-4515",
            "fax_number": "660-668-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "STELLING",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "NELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-668-4515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "029352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101487304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Back in Action Chiropractic LLC
• Bothwell Regional Health Center (Cole Camp Clinic)
• Cole Camp Community Ambulance District (Cole Camp EMS)
• Cole Camp R-I School District
• Pamela Sue Eckhoff, DNP, FNP-BC
• Heart Core LLC
• Samantha Lang, MS, CCC-SLP
• Melissa Nienhuis, LAT, ATC
• Regional Health Care Clinic, Inc (Katy Trail Community Health Cole Camp R-1)
• Stephanie Danielle Schirding, MD

• Skilled Nursing Facility in Cole Camp, MO
• Providers in Cole Camp, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.