The Evangelical Lutheran Good Samaritan Society

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

Good Samaritan Society - Loveland Village

Practice address

2101 S Garfield Ave
Loveland, CO 80537-7377

Phone

(970) 669-3100

Fax

(970) 663-4526

NPI assigned

Oct 25, 2005

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYAs reported in NPPES

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

Authorized official

Name

Ms. Raye Nae Nylander

Title

Cfo

Phone

(605) 362-3100

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Good Samaritan Society - Loveland Village Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073503728. Details of each certification follow.

• CCN 065139 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 065139

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - LOVELAND VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1976

Last certification

May 7, 2024

Beds

104

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Evangelical Lutheran Good Samaritan Society

Organization structure

CorporationNon-profit

Incorporated

Sep 29, 1922 in ND

Enrollment address

2101 S Garfield Ave
Loveland, CO 80537-7377

Nursing home name

GOOD SAMARITAN - LOVELAND VILLAGE

Affiliated entity

GOOD SAMARITAN SOCIETY

Listed as

Good Samaritan - Loveland VillageCCN 065139 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

104100.3 residents per day on average

Chain

Good Samaritan Society92 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

4Fines totaling $51,424

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Good Samaritan Home210 organizations share this tax ID, including this one

Part of

Good Samaritan Home

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Services@Home

  • Homemaker
  • Loveland, CO
  • NPI 1619532116
  NPD tax ID
• Good Samaritan Society Services@Home

  • Home Health Agency
  • Loveland, CO
  • NPI 1134595515
  NPD tax ID
• The Evangelical Lutheran Good Samaritan

  dba The Manor at Bonell Good Samaritan Center

  • Assisted Living Facility
  • Greeley, CO
  • NPI 1760505705
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Fort Collins Village

  • Skilled Nursing Facility
  • Fort Collins, CO
  • NPI 1235110727
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Colorado Home Care

  • Home Health Agency
  • Loveland, CO
  • NPI 1437131885
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Bonell

  • Respite Care
  • Greeley, CO
  • NPI 1811420722
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Estes Park Good Samaritan

  • Assisted Living Facility
  • Estes Park, CO
  • NPI 1841313236
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Fort Collins Good Samaritan

  • Assisted Living Facility
  • Fort Collins, CO
  • NPI 1942424940
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Fort Collins Village (HCBS)

  • Skilled Nursing Facility
  • Fort Collins, CO
  • NPI 1992535223
  NPD tax ID

All disclosed owners & managing parties 39

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.

• Diego M Freitas, M.D.

  • Internal Medicine Physician
  • Parker, CO
  • NPI 1487634481

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 107

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

Showing 100 of 107 facilities.

Facilities with the same owner 106

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Fort Collins Village

  • Skilled Nursing Facility
  • Fort Collins, CO
  • NPI 1235110727

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• American Lutheran Church

  dba Salem Lutheran Homes

  • Nursing Facility/Intermediate Care Facility
  • Elk Horn, IA
  • NPI 1760460489

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• Cedar Lake Village, Inc

  dba Hoeger House

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1255345427

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• Edgebrook Care Center

  • Skilled Nursing Facility
  • Edgerton, MN
  • NPI 1003893447

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - St John's

  • Skilled Nursing Facility
  • Kearney, NE
  • NPI 1033190020

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• Heritage Home Healthcare & Hospice, Inc

  dba Good Samaritan Society - Hospice

  • Community Based Hospice Care Agency
  • Albuquerque, NM
  • NPI 1932125770

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• Litzenberg Memorial Merrick County

  dba Litzenberg Memorial County Hospital

  • Skilled Nursing Facility
  • Central City, NE
  • NPI 1215012802

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• Souris Valley Care Center, Inc.

  dba Souris Valley Care Center

  • Skilled Nursing Facility
  • Velva, ND
  • NPI 1306821087

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan - Olathe

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1003807421

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care

  • Home Health Agency
  • Robbinsdale, MN
  • NPI 1033191416

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Pleasant View

  • Skilled Nursing Facility
  • Saint James, MN
  • NPI 1043291719

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Health of the Black Hills

  • Home Health Agency
  • Rapid City, SD
  • NPI 1043616329

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership

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.

• Diego M Freitas, M.D.

  • Internal Medicine Physician
  • Parker, CO
  • NPI 1487634481
  NPD (past)

Affiliated clinicians 15

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

• Mark F Berntsen, MD

  • Internal Medicine Physician
  • Greeley, CO
  • NPI 1730166687

  Nursing home

  Care Compare affiliation
• Elizabeth Penick Clark, D.O., MPH & TM

  • Family Medicine Physician
  • Parker, CO
  • NPI 1134195993

  Nursing home

  Care Compare affiliation
• Anthony A Doft, MD

  • Family Medicine Physician
  • Windsor, CO
  • NPI 1235110602

  Nursing home

  Care Compare affiliation
• Diego M Freitas, M.D.

  • Internal Medicine Physician
  • Parker, CO
  • NPI 1487634481

  Nursing home

  Care Compare affiliation
• Xavier Herrera, MD

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1912994526

  Nursing home

  Care Compare affiliation
• Robert J Juhala, MD

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1851329973

  Nursing home

  Care Compare affiliation
• Michele Genevive Keffeler, M.D.

  • Internal Medicine Physician
  • Parker, CO
  • NPI 1477810190

  Nursing home

  Care Compare affiliation
• James Arthur McReynolds, MD

  • Internal Medicine Physician
  • Loveland, CO
  • NPI 1184844169

  Nursing home

  Care Compare affiliation
• Angela Mills, M.D.

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1104827054

  Nursing home

  Care Compare affiliation
• Jessica Crystal Peck

  • Nurse Practitioner
  • Lafayette, CO
  • NPI 1477433431

  Nursing home

  Care Compare affiliation
• Laura D Sherman, M.D.

  • Internal Medicine Physician
  • Loveland, CO
  • NPI 1629496013

  Nursing home

  Care Compare affiliation
• Peter Charles Smith, MD

  • Internal Medicine Physician
  • Loveland, CO
  • NPI 1366425142

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1073503728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5038",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175038",
            "telephone_number": "605-362-3100",
            "fax_number": "605-362-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S GARFIELD AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377377",
            "telephone_number": "970-669-3100",
            "fax_number": "970-663-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
        "enumeration_date": "2005-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "RAYE NAE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-362-3100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05653704",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Samaritan Society - Loveland Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Society - Loveland Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martine Patrice Tesone, DNP, CNM
• John R Teumer
• Jeannie Than, PA-C
• Lauren Thayer, FNP-BC
• The Dental Team of Loveland
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Colorado Home Care)
• The Loveland Youth Clinic
• The Matthews House
• The Other Road Counseling PLLC
• The Other Road Counseling PLLC

• Skilled Nursing Facility in Loveland, CO
• Providers in Loveland, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.