NPIMap

Organization Active NPI

The Evangelical Lutheran Good Samaritan Society - Pipestone

Doing business as Ridge View Estates Assisted Living

  • Assisted Living Facility
  • Pipestone, MN
National Provider Identifier
1235594722
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
375384 Issued in MN
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY - PIPESTONE
Doing business as
Ridge View Estates Assisted Living
Practice address
903 2ND Ave SE
Pipestone, MN 56164-1745
Phone
(507) 825-4885
Fax
(507) 562-1355
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Mr. David James Horazdovsky
Title
President/Officer
Phone
(507) 825-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 375384 MN Primary

Addresses

Primary practice location

903 2ND Ave SE
Pipestone, MN 56164-1745

Mailing address

903 2ND Ave SE
Pipestone, MN 56164-1745
Phone (507) 825-4885

Other names 1

  • Ridge View Estates Assisted Living Doing business as

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
24D2082646Good Samaritan Society903 2ND Ave SE, Pipestone, MN 56164Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Home210 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

903 2nd Ave SE
Pipestone, MN 56164
Phone (507) 825-4885

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1235594722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 2ND AVE SE",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641745",
            "telephone_number": "507-825-4885",
            "fax_number": "507-562-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 2ND AVE SE",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641745",
            "telephone_number": "507-825-4885",
            "fax_number": "507-562-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY - PIPESTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "HORAZDOVSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OFFICER",
        "authorized_official_telephone_number": "507-825-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "375384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge View Estates Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pipestone, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.