The Evangelical Lutheran Good Samaritan Society

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1092A Issued in ND

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

Sunset Drive - a Prospera Community

Practice address

1011 Boundary St NW
Mandan, ND 58554-1608

Phone

(701) 323-1411

Fax

(701) 323-1395

NPI assigned

Sep 13, 2006

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

Eric Vanden Hull

Title

Vice President

Phone

(605) 362-5510

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sunset Drive - a Prospera Community 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 1487759593. Details of each certification follow.

• CCN 355065 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 355065

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - SUNSET DRIVE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1978

Last certification

May 2, 2024

Beds

128

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Good Samaritan Sanford Health

Organization structure

CorporationNon-profit

Incorporated

Sep 29, 1922 in ND

Enrollment address

1011 Boundary St NW
Mandan, ND 58554-1608

Nursing home name

SUNSET DRIVE - A PROSPERA COMMUNITY

Affiliated entity

GOOD SAMARITAN SOCIETY

Listed as

Sunset Drive - a Prospera CommunityCCN 355065 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

128121.0 residents per day on average

Chain

Good Samaritan Society92 facilities in the chain

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $42,226

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 21

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 Good Samaritan Society - Park River

  • Skilled Nursing Facility
  • Park River, ND
  • NPI 1487635496
  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

Member of 3

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

• Sanford Bismarck

  dba Sanford Bismarck Tom & Frances Leach Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bismarck, ND
  • NPI 1700962818

  Member Of

  NPD member
• Sanford West

  dba Sanford West Histocompatibility Laboratory

  • Clinical Medical Laboratory
  • Bismarck, ND
  • NPI 1700130515

  Member Of

  NPD member
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Stillwater

  • Skilled Nursing Facility
  • Stillwater, MN
  • NPI 1215927611

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 36

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.

• Anthony T Johnson, MD

  • Family Medicine Physician
  • Mandan, ND
  • NPI 1912918772

  Adp of the SNF, Operational/Managerial Control

  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 Good Samaritan Society - Park River

  • Skilled Nursing Facility
  • Park River, ND
  • NPI 1487635496

  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.

• Brian J Hebert, MD

  • Internal Medicine Physician
  • Bismarck, ND
  • NPI 1235177577
  NPD (past)
• Donald J Kosiak, MD

  • Family Medicine Physician
  • Bismarck, ND
  • NPI 1629162706
  NPD (past)

Affiliated clinicians 3

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

• Brian J Hebert, MD

  • Internal Medicine Physician
  • Bismarck, ND
  • NPI 1235177577

  Nursing home

  Care Compare affiliation
• Jeffrey Eugene Hostetter, MD

  • Family Medicine Physician
  • Bismarck, ND
  • NPI 1275561102

  Nursing home

  Care Compare affiliation
• Donald J Kosiak, MD

  • Family Medicine Physician
  • Bismarck, ND
  • NPI 1629162706

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1487759593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOUNDARY ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541608",
            "telephone_number": "701-323-1411",
            "fax_number": "701-323-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOUNDARY ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541608",
            "telephone_number": "701-323-1411",
            "fax_number": "701-323-1395"
        }
    ],
    "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": "2006-09-13",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "VANDEN HULL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "605-362-5510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1092A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469246",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4820",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1092A",
            "state": "ND"
        }
    ],
    "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": "Sunset Drive - a Prospera Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunset Drive - a Prospera Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Swensrud
• Anne Swisse, OTR/L
• Denise Renee Tanner, LMSW
• Taylor Drug Co Inc (Thrifty White Pharmacy #043)
• The Evangelical Lutheran Good Samaritan Society (Sunset Drive - a Prospera Community)
• The Evangelical Lutheran Good Samaritan Society (Miller Pointe - a Prospera Community)
• The Evangelical Lutheran Good Samaritan Society (Miller Pointe - a Prospera Community)
• The Nutrition Practice PLLC
• Nancy Theurer
• Jennifer Jean Thomas

• Skilled Nursing Facility in Mandan, ND
• Providers in Mandan, 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.