The Evangelical Lutheran Good Samaritan Society

Key facts

NPI

1366423147

Entity type

Organization (NPI type 2)

Primary specialty

Skilled Nursing Facility 314000000X

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Practice address

1301 50TH St E
Inver Grove, MN 55077-1250

Phone

(651) 451-1853

Fax

(651) 451-7515

NPI assigned

Nov 9, 2005

Organization subpart

Yes

Parent organization (as reported)

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Authorized official

Name

Mrs. Raye Nae Nylander

Title

Cfo

Phone

(605) 362-3100

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Vikas Simon Mittal, MD Internal Medicine Physician · Saint Paul, MN · NPI 1629038377
  CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Corporate family (same tax ID) 24

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

• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · Battle Lake, MN · NPI 1114125333
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · New Hope, MN · NPI 1114908878
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Jackson, MN · NPI 1134119563
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · Pelican Rapids, MN · NPI 1144571324
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Stillwater, MN · NPI 1215927611
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Luverne, MN · NPI 1225013618
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Home Health Agency · Nisswa, MN · NPI 1225017320
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Waconia, MN · NPI 1235110081
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Mountain Lake, MN · NPI 1265423990
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · St James, MN · NPI 1326219338
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Home Health Agency · Luverne, MN · NPI 1336327188
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · International Falls, MN · NPI 1427033810
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Windom, MN · NPI 1447231113
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Austin, MN · NPI 1477534899
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · Brainerd, MN · NPI 1487757852
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Blackduck, MN · NPI 1497736169
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Home Health Agency · Saint Peter, MN · NPI 1497738520
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Saint Paul, MN · NPI 1508856998
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Pine River, MN · NPI 1558342972
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · Pine River, MN · NPI 1588834238
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · Brainerd, MN · NPI 1609294859
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · Jackson, MN · NPI 1629151154
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society Assisted Living Facility · Brainerd, MN · NPI 1629176383
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society - Pipestone Assisted Living Facility · Pipestone, MN · NPI 1235594722
  NPD tax ID

Facilities with the same owner 106

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

• Edgebrook Care Center Skilled Nursing Facility · Edgerton, MN · NPI 1003893447
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Home Health Agency · Robbinsdale, MN · NPI 1033191416
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · St James, MN · NPI 1043291719
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Home Health Agency · Windom, MN · NPI 1073595484
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · New Hope, MN · NPI 1114908878
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Jackson, MN · NPI 1134119563
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Stillwater, MN · NPI 1215927611
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Luverne, MN · NPI 1225013618
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Home Health Agency · Nisswa, MN · NPI 1225017320
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Waconia, MN · NPI 1235110081
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Mountain Lake, MN · NPI 1265423990
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · International Falls, MN · NPI 1427033810
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Windom, MN · NPI 1447231113
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Austin, MN · NPI 1477534899
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Blackduck, MN · NPI 1497736169
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Home Health Agency · Saint Peter, MN · NPI 1497738520
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Saint Paul, MN · NPI 1508856998
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Pine River, MN · NPI 1558342972
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Battle Lake, MN · NPI 1639153398
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Albert Lea, MN · NPI 1659352326
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Robbinsdale, MN · NPI 1659361061
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Howard Lake, MN · NPI 1689655086
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Brainerd, MN · NPI 1720078140
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Community Based Hospice Care Agency · Nisswa, MN · NPI 1740293083
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
• The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility · Pipestone, MN · NPI 1831189265
  CMS ownership THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

View all 106

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Robert Goblirsch, M.D. Emergency Medical Services (Emergency Medicine) Physician · Cambridge, MN · NPI 1417123688
  NPD (past)
• Ibrahim A Mujir, M.D. Family Medicine Physician · Brooklyn Park, MN · NPI 1649367210
  NPD (past)

Affiliated clinicians 1

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

• Samuel Robert Goblirsch, M.D. Emergency Medical Services (Emergency Medicine) Physician · Cambridge, MN · NPI 1417123688
  Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as

Good Samaritan Society - Inver Grove Heights CCN 245285

Overall star rating

★★★☆☆ 3 of 5

Health inspections

★★★☆☆ 3 of 5

Staffing

★★★★☆ 4 of 5

Quality measures

★★☆☆☆ 2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Aug 1, 1985

Medicare certification status

Active (Provider of Services file)

Certified beds

46 · 36.8 residents per day on average

Chain

Good Samaritan Society (92 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Skilled nursing facility certification: CCN 245285

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - INVER GROVE HEIGHTS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1985

Last certification

Dec 12, 2024

Beds

46

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Good Samaritan Sandford

Organization structure

Corporation · Non-profit

Incorporated

Sep 29, 1922 in ND

Enrollment address

1301 50TH St E
Inver Grove Heights, MN 55077-1250

Nursing home name

GOOD SAMARITAN SOCIETY - INVER GROVE HEIGHTS

Affiliated entity

GOOD SAMARITAN SOCIETY

All disclosed owners & managing parties 40

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold 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.

Medicare enrollment records

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

Addresses

Other identifiers

Other names

• Good Samaritan Society - Inver Grove Heights Doing business as

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 25, 2021.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1366423147",
    "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": "1301 50TH ST E",
            "city": "INVER GROVE",
            "state": "MN",
            "postal_code": "550771250",
            "telephone_number": "651-451-1853",
            "fax_number": "651-451-7515"
        }
    ],
    "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": "2005-11-09",
        "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": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "659561800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5A18IN",
            "state": "MN"
        }
    ],
    "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 - Inver Grove Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Society - Inver Grove Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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