The Evangelical Lutheran Good Samaritan Society
Organization Active NPI Skilled Nursing Facility · Ft Collins, CO
NPI 1235110727 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1235110727
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 508 W Trilby Rd
Ft Collins, CO 80525-4054 - Phone
- (970) 226-4909
- Fax
- (970) 226-6976
- NPI assigned
- Nov 10, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
- Name
- Ms. Raye Nae Nylander
- Title
- Cfo
- Phone
- (605) 362-3100
Corporate family (same tax ID) 9
Facilities with the same owner 106
Affiliated clinicians 2
-
Megan Gause, DO
Medicare Care Compare: Nursing home
- Listed as
- Good Samaritan Society -- Fort Collins Village
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 1, 1986
- Medicare certification status
- Active
- Certified beds
- 64 · 59.5 residents per day on average
- Chain
- Good Samaritan Society
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Skilled nursing facility certification: CCN 065227
- Legal name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Doing business as
- GOOD SAMARITAN SOCIETY - FORT COLLINS VILLAGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1986
- Last certification
- Jan 9, 2024
- Beds
- 64
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Evangelical Lutheran Good Samaritan Society
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 29, 1922 in ND
- Enrollment address
- 508 W Trilby Rd
Fort Collins, CO 80525-4054 - Nursing home name
- GOOD SAMARITAN SOCIETY -- FORT COLLINS VILLAGE
- Affiliated entity
- GOOD SAMARITAN SOCIETY
All disclosed owners & managing parties 38
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Marnie Lynn Ventling-Herrmann |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| |
Adp of the SNF | Feb 1, 2024 | |
| Tony Lee Morrison |
Operational/Managerial Control | Jan 1, 2019 | |
| Adp of the SNF | Jan 1, 2019 | ||
| The Evangelical Lutheran Good Samaritan Society |
5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 100% |
| Operational/Managerial Control | Jan 1, 2019 | ||
| Adp of the SNF | Jan 1, 2019 | ||
| Focusone Solutions |
Adp of the SNF | Mar 4, 2024 | |
| Brent Gerard Teiken |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| |
Adp of the SNF | Oct 1, 2017 | |
| Joel Adam Fluit |
Corporate Officer |
Oct 1, 2022 | |
| Adp of the SNF | Oct 1, 2022 | ||
| |
Adp of the SNF | Mar 25, 2022 | |
| Dana James Dykhouse |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| |
Adp of the SNF | Oct 1, 2017 | |
| DTN Staffing Inc |
Adp of the SNF | Aug 2, 2024 | |
| Andrew Stewart North |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Aimee Nicole Middleton |
Corporate Officer |
Jan 27, 2022 | |
| Adp of the SNF | Jan 27, 2022 | ||
| |
Adp of the SNF | Mar 12, 2018 | |
| Stephanie Marie Herseth Sandlin |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Grape Tree Medical Staffing LLC |
Adp of the SNF | Apr 13, 2018 | |
| William Joseph Gassen |
Corporate Officer |
May 30, 2024 | |
| Corporate Director |
May 30, 2024 | ||
| Adp of the SNF | May 30, 2024 | ||
| John Schlichting |
Operational/Managerial Control | Oct 31, 2022 | |
| Adp of the SNF | Oct 31, 2022 | ||
| George Joseph Brown |
Corporate Director |
Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Wesley Owen Engbrecht |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| |
Adp of the SNF | Oct 1, 2017 | |
| Roger P Bermingham |
Operational/Managerial Control | Feb 9, 2018 | |
| Adp of the SNF | Feb 9, 2018 | ||
| |
Adp of the SNF | Feb 1, 2025 | |
| Maureen Patricia McCausland |
Corporate Director |
Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Sanford |
5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 100% |
| Operational/Managerial Control | Jan 1, 2019 | ||
| Adp of the SNF | Nov 13, 2025 | ||
| |
Adp of the SNF | Apr 14, 2024 | |
| Nathan Thomas Schema |
Corporate Officer |
Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Thomas Richard Wenzel |
Corporate Director |
Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| David Jonathan Shulkin |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Deeandra Dawn Sandgren |
Operational/Managerial Control | Jul 16, 2023 | |
| Adp of the SNF | Jul 16, 2023 | ||
| Neil Leslie Gulsvig |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Kevin Victor Schieffer |
Corporate Director |
Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Lauris Nelson Molbert |
Corporate Director |
May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Nicholas Wayne Olson |
Corporate Officer |
Apr 8, 2024 | |
| Adp of the SNF | Apr 8, 2024 | ||
| |
Adp of the SNF | Oct 1, 2017 | |
| |
Adp of the SNF | Jan 1, 2025 |
All facility ownership & control disclosures 107
| Facility | Type | Role | Since |
|---|---|---|---|
| Good Samaritan Society - Syracuse |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Mountain Lake |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Westbrook |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Holstein |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Lemars |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society-Osceola |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Souris Valley Care Center |
Skilled nursing facility | Operational/Managerial Control | Sep 1, 1991 |
| Good Samaritan Society - Maplewood |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Olathe |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - International Falls |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Ambassador |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - St Lukes |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society- St Ansgar |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Liberal |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Saint James |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Scotland |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Windom |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Center - Red Oak |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2019 Jan 1, 2019 |
| Hoeger House |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (50%) | Jan 1, 2019 |
| Good Samaritan Society - Luther Manor |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bloomfield |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - St Johns |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Hastings Village |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Edgebrook Care Center |
Skilled nursing facility | Operational/Managerial Control | Apr 1, 1991 |
| Good Samaritan Society - Canton |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Canistota |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Sioux Falls Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Sioux Falls Village |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Stillwater |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Decatur County |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Focusone Solutions LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Howard |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - New Underwood |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Tyndall |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Larimore |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Inver Grove Heights |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bottineau |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Valley Vista |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan - Ellis |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Park River |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Hays |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan - Hutchinson Village |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Waconia |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Lakota |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Specialty Care Community |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society Oakes |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Algona |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Waukon |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Davenport |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan - Ellsworth Village |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Mar 28, 2025 |
| Good Samaritan Society - Forest City |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Estherville |
Skilled nursing facility | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Manson |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Ottumwa |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - de Smet |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Loveland Village |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - George |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Howard Lake |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Albert Lea |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Comforcare |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bethany |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Albion |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Woodland |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Atkinson |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Pipestone |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Alma |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Blackduck |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Luverne |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society-Millard |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Beatrice |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Jackson |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society Superior |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Auburn |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Battle Lake |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Pine River |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Miller |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Salem Lutheran Homes |
Skilled nursing facility | Operational/Managerial Control (100%) | Nov 20, 2007 |
| Good Samaritan Society - Grand Island Village |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Litzenberg Memorial Long Term Care |
Skilled nursing facility | Operational/Managerial Control | Jul 1, 2017 |
| Good Samaritan Society - Atwood |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - St Martin Village |
Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Sunset Drive |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - St Vincent'S |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Focusone Solutions LLC |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Miller Pointe |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Wagner |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society Home Care |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Northwest Kansas Home Care |
Home health agency | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Home Care |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Care |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Health |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Home Care of Southeast Nebraska |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Home Care of Central Nebraska |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Village Home Health |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Home Care of Southwest Minnesota |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Home Health of Central Kansas |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society- Home Care |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Home Care |
Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society Home Care |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Care |
Home health agency | Operational/Managerial Control | Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070904000174 | CO | Part a Provider - Skilled Nursing Facility | 1951218817 | Practice locations: Fort Collins, CO |
National Provider Directory
- Tax ID family
- Red Oak Iowa Good Sam C
- Part of
- Red Oak Iowa Good Sam C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | ||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
508 W Trilby Rd
Ft Collins, CO 80525-4054
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Phone (605) 362-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05651260 | Medicaid | CO |
Other names
- Good Samaritan Society - Fort Collins Village
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Ft Collins, CO
- The Aver Center, LLC
- The Bloomhouse Women'S Counseling Collective
- The Change Lab Counseling and Consulting PLLC
- The Courtyard at RNCR
- The Daccardi Center for Natural Health
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- The Family Center/la Familia
- The Family Clinic of Fort Collins
- The Glasses Guys LLC
All providers in Ft Collins, CO · Skilled Nursing Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.