NPIMap

Organization Active NPI

Good Samaritan Hospital Association

Doing business as Heart of America Hospice

  • Community Based Hospice Care Agency
  • Rugby, ND
National Provider Identifier
1003903840
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
6013A Issued in ND
Legal business name
GOOD SAMARITAN HOSPITAL ASSOCIATION
Doing business as
Heart of America Hospice
Practice address
406 10TH St SE Apt 36
Rugby, ND 58368-2564
Phone
(701) 771-7208
NPI assigned
Oct 5, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Erik T Christenson
Title
Ceo
Phone
(701) 776-5261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 6013A ND Primary

Addresses

Primary practice location

406 10TH St SE Apt 36
Rugby, ND 58368-2564

Mailing address

2975 Highway 2 E
Rugby, ND 58368-7801
Phone (701) 776-5455

Other practice location 1

2975 Highway 2 E
Rugby, ND 58368-7801
Phone (701) 776-5455

Other identifiers 2

IdentifierTypeStateIssuer
1457279MedicaidND
9308OtherNDBLUE CROSS BLUE SHIELD

Other names 1

  • Heart of America Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100309000265 ND Part A Provider - Hospice 6002716701 Practice locations: Rugby, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003903840. Details of each certification follow.

Hospice certification: CCN 351509

Legal name
GOOD SAMARITAN HOSPITAL ASSOCIATION
Doing business as
HEART OF AMERICA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 1, 1993
Last certification
Aug 17, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1905 in ND
Enrollment address
406 10TH St SE
Apt 36
Rugby, ND 58368-2564

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Heart of America HospiceCCN 351509 · All quality measures
Ownership
Other
Certified
Dec 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0655659Heart of America Hospice406 10TH St SE #36, Rugby, ND 58368Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Heart of America Medica8 organizations share this tax ID, including this one
Part of
Heart of America Medica

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Richard D Anderson Individual Corporate Director Nov 17, 2025
Tanner Lee Johnson Individual Corporate Director Oct 18, 2021
Josalynne L Hoff Rue Individual W-2 Managing EmployeeMD; Jul 1, 2022
Operational/Managerial ControlMedical Director Jul 1, 2022
Craig Zachmeier Individual Corporate Director Nov 12, 2019
Kimberley Bott Individual Corporate Director Feb 25, 2021
Christine Jaeger Individual Corporate Director Nov 17, 2025
Michael Graner Individual Corporate Officer Aug 1, 2022
Corporate Director Apr 14, 2021
Wayne Trottier Individual Corporate Officer Aug 1, 2022
Corporate Director Nov 12, 2019
Rebecca Hershey Individual W-2 Managing EmployeeAd;Hospice Director Jun 25, 2007
Operational/Managerial ControlHospice Director Jun 25, 2007
Erik Christenson Individual Corporate OfficerCeo Apr 13, 2020
W-2 Managing EmployeeCeo Apr 13, 2020
Operational/Managerial ControlCeo Apr 13, 2020
Melissa Shepard Individual Corporate OfficerCfo Aug 1, 2019
W-2 Managing EmployeeCfo Aug 1, 2019
Operational/Managerial ControlCfo Aug 1, 2019
Jesse Fahnestock Individual Corporate Director Aug 18, 2025
Lisa Thorp Individual Corporate Director Nov 21, 2022

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heart of America Medical CenterRugby, ND, CCN 351332 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Heart of America Medical CenterRugby, ND, CCN 35Z332 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1003903840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 HIGHWAY 2 E",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583687801",
            "telephone_number": "701-776-5455",
            "fax_number": "701-776-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 10TH ST SE APT 36",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682564",
            "telephone_number": "701-771-7208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 HIGHWAY 2 E",
            "address_purpose": "LOCATION",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583687801",
            "country_code": "US",
            "telephone_number": "701-776-5455",
            "fax_number": "701-776-5448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-776-5261"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ND",
            "license": "6013A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457279",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9308",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of America Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart of America Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rugby, ND

Sources for this page

Verify at the official NPI Registry.