Organization Active NPI

Good Samaritan Assisted Living LLC

  • Clinic/Center
  • Saint Cloud, MN
National Provider Identifier
1124972922
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GOOD SAMARITAN ASSISTED LIVING LLC
Practice address
1229 12TH Ave N
Saint Cloud, MN 56303-2720
Phone
(320) 224-0027
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Rashid Shurie
Title
Owner
Phone
(320) 224-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1229 12TH Ave N
Saint Cloud, MN 56303-2720

Mailing address

1229 12TH Ave N
Saint Cloud, MN 56303-2720

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1124972922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 12TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 12TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032720",
            "telephone_number": "320-224-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "SHURIE",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-224-0027"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.