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 - Park River

Practice address

301 County Road 12B
Park River, ND 58270-4134

Phone

(701) 284-7115

Fax

(701) 284-7117

NPI assigned

Nov 7, 2005

Last updated

Nov 28, 2021By 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 - Park River Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487635496. Details of each certification follow.

• CCN 355089 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 355089

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - PARK RIVER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1984

Last certification

Jul 11, 2024

Beds

44

Ownership / control type

Nonprofit Corporation

Multi-facility organization

The Evangelical Lutheran Good Samaritan Society

Organization structure

CorporationNon-profit

Incorporated

Sep 29, 1922 in ND

Enrollment address

301 County Road 12B
Park River, ND 58270-4134

Nursing home name

GOOD SAMARITAN SOCIETY - PARK RIVER

Affiliated entity

GOOD SAMARITAN SOCIETY

Listed as

Good Samaritan Society - Park RiverCCN 355089 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1984

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4442.8 residents per day on average

Chain

Good Samaritan Society92 facilities in the chain

Penalties (3 years)

1Fines totaling $42,181

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Good Samaritan Home210 organizations share this tax ID, including this one

Part of

Good Samaritan Home

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Larimore

  • Custodial Care Facility
  • Larimore, ND
  • NPI 1114305380
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Osnabrock

  • Nursing Facility/Intermediate Care Facility
  • Osnabrock, ND
  • NPI 1275619470
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Bottineau

  • Custodial Care Facility
  • Bottineau, ND
  • NPI 1316270945
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Lakota

  • Nursing Facility/Intermediate Care Facility
  • Lakota, ND
  • NPI 1326338740
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Crosby

  • Nursing Facility/Intermediate Care Facility
  • Crosby, ND
  • NPI 1346409729
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Bottineau

  • Skilled Nursing Facility
  • Bottineau, ND
  • NPI 1407837263
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Sunset Drive - a Prospera Community

  • Nurse Practitioner
  • Mandan, ND
  • NPI 1427530211
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Lakota

  • Skilled Nursing Facility
  • Lakota, ND
  • NPI 1477544716
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Sunset Drive - a Prospera Community

  • Skilled Nursing Facility
  • Mandan, ND
  • NPI 1487759593
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Angel Heights

  • Custodial Care Facility
  • Devils Lake, ND
  • NPI 1518047570
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba St Vincents - a Prospera Community

  • Nurse Practitioner
  • Bismarck, ND
  • NPI 1518449305
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Augusta Place - a Prospera Community

  • Nurse Practitioner
  • Bismarck, ND
  • NPI 1528540317
  NPD tax ID

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 1

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

• Joel J Johnson, M.D.

  • Family Medicine Physician
  • Park River, ND
  • NPI 1528138542

  Contracted Managing Employee

  CMS 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.

Facilities with the same owner 106

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

• Souris Valley Care Center, Inc.

  dba Souris Valley Care Center

  • Skilled Nursing Facility
  • Velva, ND
  • NPI 1306821087

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Bottineau

  • Skilled Nursing Facility
  • Bottineau, ND
  • NPI 1407837263

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Lakota

  • Skilled Nursing Facility
  • Lakota, ND
  • NPI 1477544716

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Sunset Drive - a Prospera Community

  • Skilled Nursing Facility
  • Mandan, ND
  • NPI 1487759593

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Augusta Place - a Prospera Community

  • Skilled Nursing Facility
  • Bismarck, ND
  • NPI 1508197013

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba St. Vincent's - a Prospera Community

  • Skilled Nursing Facility
  • Bismarck, ND
  • NPI 1639274731

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Miller Pointe - a Prospera Community

  • Skilled Nursing Facility
  • Mandan, ND
  • NPI 1710082904

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care

  • Home Health Agency
  • Devils Lake, ND
  • NPI 1841272226

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Oakes Manor Good Samaritan Center

  • Skilled Nursing Facility
  • Oakes, ND
  • NPI 1912998386

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Larimore

  • Skilled Nursing Facility
  • Larimore, ND
  • NPI 1992786008

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• American Lutheran Church

  dba Salem Lutheran Homes

  • Nursing Facility/Intermediate Care Facility
  • Elk Horn, IA
  • NPI 1760460489

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• Cedar Lake Village, Inc

  dba Hoeger House

  • Skilled Nursing Facility
  • Olathe, KS
  • NPI 1255345427

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel J Johnson, M.D.

  • Family Medicine Physician
  • Park River, ND
  • NPI 1528138542
  NPD (past)
• Kristi J Midgarden, M.D.

  • Family Medicine Physician
  • Park River, ND
  • NPI 1841374030
  NPD (past)

Affiliated clinicians 2

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

• Joel J Johnson, M.D.

  • Family Medicine Physician
  • Park River, ND
  • NPI 1528138542

  Nursing home

  Care Compare affiliation
• Kristi J Midgarden, M.D.

  • Family Medicine Physician
  • Park River, ND
  • NPI 1841374030

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1487635496",
    "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": "301 COUNTY ROAD 12B",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582704134",
            "telephone_number": "701-284-7115",
            "fax_number": "701-284-7117"
        }
    ],
    "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": "2021-11-28",
        "certification_date": "2021-11-28",
        "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": [
        {
            "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 - Park River",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Society - Park River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physician Management Services of North Dakota, LLC
• Kara Ruhland, PHARM D
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• Kristin Marie Stabo, NP
• India Stockert, M.A.
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Park River)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Park River)
• Villa Nazareth (Friendship, Inc.)
• Villa Nazareth (Friendship Inc)
• Walsh County Senior Citizens Council (Walsh County Transportation)

• Skilled Nursing Facility in Park River, ND
• Providers in Park River, 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 Nov 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.