Organization Active NPI

Good Samaritan Hospital

Doing business as Good Samaritan Home Care

  • Community Based Hospice Care Agency
  • Kearney, NE
National Provider Identifier
1407879448
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
071002 Issued in NE
Legal business name
GOOD SAMARITAN HOSPITAL
Doing business as
Good Samaritan Home Care
Practice address
2501 30TH Ave
Kearney, NE 68845-4017
Phone
(308) 865-7900
Fax
(308) 865-2913
NPI assigned
Jul 25, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Evert Kuiper
Title
Ceo - CHI Health
Phone
(402) 343-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 071002 NE Primary

Addresses

Primary practice location

2501 30TH Ave
Kearney, NE 68845-4017

Mailing address

10 E 31St St
P.O. Box 1990
Kearney, NE 68847-2926
Phone (308) 865-7900

Other identifiers 1

IdentifierTypeStateIssuer
299OtherBLUE CROSS

Other names 1

  • GOOD SAMARITAN HOME CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1407879448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 31ST ST",
            "address_2": "P.O. BOX 1990",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472926",
            "telephone_number": "308-865-7900",
            "fax_number": "308-865-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 30TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454017",
            "telephone_number": "308-865-7900",
            "fax_number": "308-865-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO - CHI HEALTH",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NE",
            "license": "071002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SAMARITAN HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOOD SAMARITAN HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.