The Evangelical Lutheran Good Samaritan Society

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

Good Samaritan Society - Devils Lake

Practice address

302 7TH Ave NE
Devils Lake, ND 58301-2516

Phone

(701) 662-6580

Fax

(701) 662-4030

NPI assigned

Nov 7, 2005

Last updated

Dec 28, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYAs reported in NPPES

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

Authorized official

Name

Mrs. Raye Nae Nylander

Title

Cfo

Phone

(605) 362-3100

Specialties & licenses 3

Addresses

Other names 1

• Good Samaritan Society - Devils Lake Doing business as

Part of

Perkins Pavillion

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Evangelical Lutheran Good Samaritan Society

  dba Augusta Place - a Prospera Community

  • Skilled Nursing Facility
  • Bismarck, ND
  • NPI 1508197013

  Member Of

  NPD member

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.

• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Rock View At Parshall

  • Skilled Nursing Facility
  • Parshall, ND
  • NPI 1295716207
  NPPES parent name

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1376524488",
    "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": "302 7TH AVE NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012516",
            "telephone_number": "701-662-6580",
            "fax_number": "701-662-4030"
        }
    ],
    "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": "2005-11-07",
        "last_updated": "2012-12-28",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Society - Devils Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Rebecca Swenseth, LPCC
• Erin Lee Sykora, OT
• Shirley Tandeski, LSW
• Brenda Tate
• Allison Joy Ternes, RPH
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Angel Heights)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Devils Lake Lake Country Manor)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Home Care)
• The Hearing Aid Company
• The Odd Fellows and Rebekah Home of North Dakota Inc. (Odd Fellows Home)

• Skilled Nursing Facility in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.