Good Samaritan Hospital
Organization Active NPI Skilled Nursing Facility · Petersburg, IN
NPI 1487731477 · NPPES record last updated May 4, 2015
Key facts
- NPI
- 1487731477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 060002521 (IN)
- Legal business name
- GOOD SAMARITAN HOSPITAL
- Practice address
- 801 E Illinois St
Petersburg, IN 47567-8026 - Phone
- (812) 354-3001
- Fax
- (812) 354-3008
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert McLin
- Title
- President & Ceo
- Phone
- (812) 882-5220
Owners & managing parties with NPI records 25
Owned or controlled facilities with NPI records 17
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 37
Facilities with the same owner 79
Practitioners 11
-
Michael L Cantwell, M.D.
-
Eleni Guoli, LMHC
-
Kristi L Harper, LCSW
-
Silpa Kamisetti, M.D.
-
Emily A Kramer, LCSW
-
Allie E Thomas-Fannin, M.D.
Affiliated clinicians 2
-
Nathanial D Grow, M.D.
-
Gary J Keepes, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Amber Manor Care Center
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 19, 1990
- Medicare certification status
- Active
- Certified beds
- 64 · 55.0 residents per day on average
- Chain
- Trilogy Health Services
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0662399 | Amber Manor Care Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Skilled nursing facility certification: CCN 155361
- Legal name
- GOOD SAMARITAN HOSPITAL
- Doing business as
- AMBER MANOR CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 19, 1990
- Last certification
- Jul 12, 2024
- Beds
- 83 (64 certified)
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Trilogy Health Servicees
- Organization structure
- Government · Non-profit
- Enrollment address
- 801 E Illinois St
Petersburg, IN 47567-8026 - Nursing home name
- AMBER MANOR CARE CENTER
- Affiliated entity
- TRILOGY HEALTH SERVICES
All disclosed owners & managing parties 32
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Jun 5, 2016 | |
| Adam L Thacker |
Corporate Officer |
Sep 1, 2013 | |
| Operational/Managerial Control | Sep 1, 2013 | ||
| Adp of the SNF | Sep 1, 2013 | ||
| American Healthcare Reit Inc |
Adp of the SNF | Oct 1, 2018 | |
| Trilogy Healthcare Master Tenant VI, LLC |
Adp of the SNF | Oct 2, 2025 | |
| |
Adp of the SNF | Jun 8, 2020 | |
| Trilogy Real Estate Investment Trust |
Adp of the SNF | Dec 1, 2015 | |
| Lument Real Estate Capital LLC |
5% Or Greater Mortgage Interest | Jan 1, 2023 | 100% |
| Adp of the SNF | Oct 14, 2025 | ||
| |
Adp of the SNF | Sep 19, 2016 | |
| Trilogy Healthcare of Petersburg, LLC |
Operational/Managerial Control | Nov 1, 2014 | |
| Adp of the SNF | Mar 9, 2026 | ||
| Trilogy Reit Holdings LLC |
Adp of the SNF | Dec 1, 2015 | |
| Matthew Schuckman |
Corporate Officer |
Dec 15, 2021 | |
| |
Adp of the SNF | Jun 2, 2025 | |
| Trilogy Management Services LLC |
Adp of the SNF | Oct 6, 2025 | |
| Gahc3 Trilogy JV LLC |
Adp of the SNF | Dec 1, 2015 | |
| Cindi Lents |
Operational/Managerial Control | Nov 1, 2014 | |
| Adp of the SNF | Apr 25, 2025 | ||
| American Healthcare Reit Holdings LP |
Adp of the SNF | Dec 1, 2015 | |
| Trilogy Opco LLC |
Operational/Managerial Control | Dec 1, 2015 | |
| Adp of the SNF | Mar 9, 2026 | ||
| Robert D McLin |
Corporate Officer |
Jan 6, 1992 | |
| Operational/Managerial Control | Jan 6, 1992 | ||
| Adp of the SNF | Jan 6, 1992 | ||
| |
Adp of the SNF | Jun 2, 2025 | |
| |
Adp of the SNF | Jan 1, 2021 | |
| |
Adp of the SNF | Jan 1, 2025 | |
| Leigh Ann Barney |
Corporate Officer |
Dec 20, 2021 | 100% |
| Paragon Outpatient Rehabilitation Services LLC |
Adp of the SNF | Dec 1, 2015 | |
| Trilogy Investors LLC |
Adp of the SNF | Dec 1, 2015 | |
| Trilogy Healthcare Holdings Inc |
Indirect Ownership Interest | Dec 1, 2015 | 100% |
| Gary Keepes |
Operational/Managerial Control | Nov 1, 2014 | |
| Adp of the SNF | Apr 25, 2025 | ||
| Trilogy Real Estate Petersburgh, LLC |
Adp of the SNF | Dec 1, 2015 | |
| Indirect Ownership Interest | Dec 1, 2015 | ||
| Kathy M Corbin |
Corporate Director |
May 1, 2015 | |
| Good Samaritan Hospital |
5% Or Greater Direct Ownership Interest | May 1, 2015 | 100% |
| Operational/Managerial Control | May 1, 2015 | ||
| Adp of the SNF | Jul 31, 2025 | ||
| David W Davis |
Limited Partnership Interest | Dec 31, 2019 | 32.4% |
| Continental Merger Sub LLC |
Adp of the SNF | Oct 1, 2021 | |
| Gahc4 Trilogy JV LLC |
Adp of the SNF | Oct 1, 2018 |
All facility ownership & control disclosures 16
| Facility | Type | Role | Since |
|---|---|---|---|
| Good Samaritan Hospital |
Hospital | Other | Apr 5, 2015 |
| St Charles Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| West River Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| River Pointe Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Oakwood Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Woodmont Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Riveroaks Health Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Scenic Hills at the Monastery |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 1, 2015 May 1, 2015 |
| Bridgepointe Health Campus |
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 the |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2016 |
| North River Health Campus |
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, LLC |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Dec 1, 2004 |
| Good Samaritan Home Care Services |
Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Mar 1, 2018 |
| Good Samaritan Hospital Physician Services, Inc |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2011 |
| Good Samaritan Internal Medicine 100 |
Rural health clinic | Operational/Managerial Control Other |
Jan 1, 2023 Jan 1, 2023 |
| Good Samaritan Washington Primary Care |
Rural health clinic | Operational/Managerial Control (100%) Other |
Jun 1, 2025 Jun 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141121000164 | IN | Part a Provider - Skilled Nursing Facility | 9436061918 | Practice locations: Petersburg, IN |
National Provider Directory
- Tax ID family
- Good Samaritan Hosp
Locations
801 E Illinois St
Petersburg, IN 47567
Phone (812) 354-3001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060002521 | IN | Yes |
Addresses
Primary practice location
801 E Illinois St
Petersburg, IN 47567-8026
Mailing address
PO Box 221648
Louisville, KY 40252-1648
Phone (502) 412-5847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100267780C | Medicaid | IN |
Other names
- Amber Manor Care Center
Other providers in Petersburg, IN
- Heather Furniss
- Donald R Gatwood
- Good Samaritan Family Health Center, Inc
- Good Samaritan Family Health Center, Inc
- Good Samaritan Family Health Center, Inc.
- Good Samaritan Hospital
- Greene Specific Chiropractic Clinic PC
- Robert C Greene
- Nathanial D Grow
- Betty L Harper
All providers in Petersburg, IN · Skilled Nursing Facility in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.