NPIMap

Organization Active NPI

Good Samaritan Hospital

  • Skilled Nursing Facility
  • Princeton, IN
National Provider Identifier
1467564047
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06-004130-1 Issued in IN
Legal business name
GOOD SAMARITAN HOSPITAL
Practice address
1244 Vail St
Princeton, IN 47670-9513
Phone
(812) 385-0794
Fax
(812) 385-3612
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Paul Plevyak
Title
Sr. Vice President
Phone
(502) 412-4857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06-004130-1 IN Primary

Addresses

Primary practice location

1244 Vail St
Princeton, IN 47670-9513

Mailing address

PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847

Other identifiers 1

IdentifierTypeStateIssuer
200491050AMedicaidIN

Other names 1

  • RiverOaks Health Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141201000177 IN Part A Provider - Skilled Nursing Facility 9436061918 Practice locations: Princeton, IN

Skilled nursing facility certification: CCN 155732

Legal name
GOOD SAMARITAN HOSPITAL
Doing business as
RIVEROAKS HEALTH CAMPUS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 5, 2004
Last certification
Oct 4, 2024
Beds
110 (68 certified)
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
1244 Vail St
Princeton, IN 47670-9513
Nursing home name
RIVEROAKS HEALTH CAMPUS
Affiliated entity
TRILOGY HEALTH SERVICES

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riveroaks Health CampusCCN 155732
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Aug 5, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6852.0 residents per day on average
Chain
Trilogy Health Services123 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
15D1027077Good Samaritan Hospital Dba River Oaks1244 Vail St, Princeton, IN 47670Certificate of waiverJun 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Hosp38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Ownership & related parties

All disclosed owners & managing parties 35

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

NameRoleSinceShare
Adam L Thacker Individual Operational/Managerial Control Sep 1, 2013
Adp of the SNF Sep 1, 2013
American Healthcare Reit Inc Organization, Irvine, CA Real estate investment trust (REIT) Adp of the SNF Oct 1, 2018
Individual Adp of the SNF Jun 8, 2020
Trilogy Healthcare Master Tenant VI, LLC Organization, Louisville, KY LLC Adp of the SNF Jun 19, 2025
Orix Real Estate Capital LLC Organization, Columbus, OH Financial institution 5% Or Greater Mortgage Interest Jan 1, 2023 100%
Adp of the SNF Jun 20, 2025
Individual Adp of the SNF Jun 2, 2025
Trilogy Real Estate Investment Trust Organization, Irvine, CA Real estate investment trust (REIT) Adp of the SNF Dec 1, 2015
Lument Real Estate Capital LLC Organization, Dallas, TX LLC 5% Or Greater Mortgage Interest Jan 1, 2023 100%
Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Jun 5, 2016
Trilogy Reit Holdings LLC Organization, Irvine, CA LLC Adp of the SNF Dec 1, 2015
Individual Adp of the SNF Sep 19, 2016
Matthew Schuckman Individual Corporate OfficerCfo Dec 15, 2021
Trilogy Management Services LLC Organization, Louisville, KY Management services company, Chain home office Adp of the SNF Oct 3, 2025
Gahc3 Trilogy JV LLC Organization, Irvine, CA LLC Adp of the SNF Dec 1, 2015
Trilogy Healthcare of River Oaks, LLC Organization, Princeton, IN LLC Operational/Managerial Control Nov 1, 2014
American Healthcare Reit Holdings LP Organization, Irvine, CA Holding company Adp of the SNF Oct 1, 2018
Trilogy Opco LLC Organization, Louisville, KY LLC, Owned by another organization or individual Direct Ownership Interest Dec 1, 2015 100%
Robert D McLin Individual Operational/Managerial Control Jan 6, 1992
Adp of the SNF Jan 6, 1992
Aaron Stephens Individual Operational/Managerial Control Nov 1, 2014
Adp of the SNF Apr 28, 2025
Trilogy Pro Services LLC Organization, Louisville, KY LLC, Owned by another organization or individual Direct Ownership Interest Dec 1, 2015 100%
Individual Managing Control - Governing BodyBoard Member Jan 1, 2025
Adp of the SNF Jan 1, 2025
Bruce C Brink Individual Operational/Managerial Control Nov 1, 2014
Adp of the SNF Jun 17, 2025
Trilogy Health Services LLC Organization, Louisville, KY LLC Adp of the SNF Dec 1, 2015
Paragon Outpatient Rehabilitation Services LLC Organization, Louisville, KY Medical provider/supplier Adp of the SNF Dec 1, 2015
Trilogy Investors LLC Organization, Louisville, KY LLC Adp of the SNF Dec 1, 2015
Individual Adp of the SNF Jan 1, 2021
Kathy M Corbin Individual Corporate DirectorContracted Director of Licensure Jul 1, 2015
Trilogy Propco Finance LLC Organization, Louisville, KY LLC Adp of the SNF Dec 1, 2015
Trilogy Property Holdings LLC Organization, Louisville, KY LLC Adp of the SNF Dec 1, 2015
Individual Adp of the SNF Jun 2, 2025
Trilogy Healthcare of Princeton, LLC Organization, Louisville, KY LLC Adp of the SNF Dec 1, 2015
Good Samaritan Hospital Organization, Vincennes, IN 5% Or Greater Direct Ownership Interest May 1, 2015 100%
Operational/Managerial Control May 1, 2015
David W Davis Individual Limited Partnership Interest Dec 31, 2019 32.4%
Continental Merger Sub LLC Organization, Irvine, CA LLC Adp of the SNF Oct 1, 2021
Gahc4 Trilogy JV LLC Organization, Irvine, CA LLC Adp of the SNF Oct 1, 2018

Owners & managing parties with NPI records 26

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

View all 26

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan HospitalVincennes, IN, CCN 150042 Hospital Other Apr 5, 2015
Amber Manor Care CenterPetersburg, IN, CCN 155361 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 May 1, 2015
May 1, 2015
Jul 31, 2025
St Charles Health CampusJasper, IN, CCN 155674 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
West River Health CampusEvansville, IN, CCN 155785 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
River Pointe Health CampusEvansville, IN, CCN 155723 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Oakwood Health CampusTell City, IN, CCN 155671 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Woodmont Health CampusBoonville, IN, CCN 155682 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Scenic Hills at the MonasteryFerdinand, IN, CCN 155493 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Bridgepointe Health CampusVincennes, IN, CCN 155696 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 May 1, 2015
May 1, 2015
Jun 23, 2025
Terrace at Solarbron theEvansville, IN, CCN 155773 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2016
North River Health CampusEvansville, IN, CCN 155854 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 May 1, 2015
May 1, 2015
Good Samaritan Home Care Services of Vincennes in, LLCVincennes, IN, CCN 157217 Home health agency 5% Or Greater Direct Ownership Interest (50%) Dec 1, 2004
Good Samaritan Home Care ServicesLawrenceville, IL, CCN 148377 Home health agency 5% Or Greater Direct Ownership Interest (50%) Mar 1, 2018
Good Samaritan Hospital Physician Services, IncVincennes, IN, CCN 153912 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2011
Good Samaritan Internal Medicine 100Vincennes, IN, CCN 158585 Rural health clinic Operational/Managerial Control
Other		 Jan 1, 2023
Jan 1, 2023
Good Samaritan Washington Primary CareWashington, IN, CCN 158594 Rural health clinic Operational/Managerial Control (100%)
Other		 Jun 1, 2025
Jun 1, 2025

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1467564047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521648",
            "telephone_number": "502-412-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 VAIL ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476709513",
            "telephone_number": "812-385-0794",
            "fax_number": "812-385-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "PLEVYAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "502-412-4857"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06-004130-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491050A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverOaks Health Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.