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The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Nursing Facility/Intermediate Care Facility · Osnabrock, ND

NPI 1275619470 · NPPES record last updated Oct 12, 2007

Key facts

NPI
1275619470
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
326 Rainbow Rd
Osnabrock, ND 58269-6901
Phone
(701) 496-3131
NPI assigned
Oct 31, 2006
Organization subpart
Yes
Parent organization (as reported)
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Authorized official

Name
Mrs. Raye Nae Nylander
Title
Vice President, Cfo
Phone
(605) 362-3100

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 13

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

National Provider Directory

Tax ID family
Red Oak Iowa Good Sam C (210 organizations share this tax ID)
Part of
Red Oak Iowa Good Sam C

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Yes

Addresses

Primary practice location

326 Rainbow Rd
Osnabrock, ND 58269-6901

Mailing address

4800 W 57TH St
Sioux Falls, SD 57117-5038
Phone (605) 362-3100

Other identifiers

IdentifierTypeStateIssuer
30768MedicaidND

Other names

  • Good Samaritan Society - Osnabrock Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 12, 2007.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1275619470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175038",
            "telephone_number": "605-362-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 RAINBOW RD",
            "city": "OSNABROCK",
            "state": "ND",
            "postal_code": "582696901",
            "telephone_number": "701-496-3131"
        }
    ],
    "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": "2006-10-31",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "RAYE NAE",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "605-362-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30768",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Society - Osnabrock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osnabrock, ND

All providers in Osnabrock, ND · Nursing Facility/Intermediate Care Facility in North Dakota

Sources for this page

Verify at the official NPI Registry.