NPIMap

The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Skilled Nursing Facility · Mandan, ND

NPI 1487759593 · NPPES record last updated Nov 28, 2021

Key facts

NPI
1487759593
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
1092A (ND)
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
1011 Boundary St NW
Mandan, ND 58554-1608
Phone
(701) 323-1411
Fax
(701) 323-1395
NPI assigned
Sep 13, 2006
Organization subpart
Yes
Parent organization (as reported)
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Authorized official

Name
Eric Vanden Hull
Title
Vice President
Phone
(605) 362-5510

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.

Owners & managing parties with NPI records 1

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

Corporate family (same tax ID) 21

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

Member of 3

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

Facilities with the same owner 106

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

View all 106

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

Medicare Care Compare: Nursing home

Listed as
Sunset Drive - a Prospera Community CCN 355065
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
Active (Provider of Services file)
Certified beds
128 · 121.0 residents per day on average
Chain
Good Samaritan Society (92 facilities)
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3 · fines totaling $42,226

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0722935Good Samaritan - Sunset Drive
1011 Boundary St NW, Mandan, ND 58554		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND

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
Corporation · Non-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

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.

NameRoleSinceShare
Mark Allen Lundeen
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
Anthony T Johnson
Individual 		Operational/Managerial Control Dec 1, 2022
Adp of the SNF Dec 1, 2022
Marnie Lynn Ventling-Herrmann
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
Tony Lee Morrison
Individual 		Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 1, 2019
Kayley Cartmill
Individual 		Operational/Managerial Control Jul 24, 2025
Adp of the SNF Jul 24, 2025

Individual 		Adp of the SNF Oct 1, 2017

Individual 		Adp of the SNF Oct 1, 2017
The Evangelical Lutheran Good Samaritan Society
Organization · Sioux Falls, SD
Corporation, Non-profit, Chain home office, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 1, 2019
Focusone Solutions
Organization · Omaha, NE
LLC, Medical staffing company 		Adp of the SNF Mar 4, 2024
Brent Gerard Teiken
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
Joel Adam Fluit
Individual 		Corporate Officer
Chief Financial Officer		 Oct 1, 2022
Adp of the SNF Oct 1, 2022
Dana James Dykhouse
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024

Individual 		Adp of the SNF Mar 25, 2022

Individual 		Adp of the SNF Oct 1, 2017
DTN Staffing Inc
Organization · Mandan, ND
Corporation, Medical staffing company 		Adp of the SNF Aug 2, 2024
Andrew Stewart North
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
Aimee Nicole Middleton
Individual 		Corporate Officer
Chief Operating Officer		 Jan 27, 2022
Adp of the SNF Jan 27, 2022

Individual 		Adp of the SNF Apr 14, 2024
Stephanie Marie Herseth Sandlin
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
Grape Tree Medical Staffing LLC
Organization · Milford, IA
LLC, Medical staffing company 		Adp of the SNF Apr 13, 2018
William Joseph Gassen
Individual 		Corporate Officer
Chief Executive Officer		 May 30, 2024
Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
George Joseph Brown
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Adp of the SNF Jan 1, 2025
Wesley Owen Engbrecht
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024

Individual 		Adp of the SNF Mar 12, 2018
Maureen Patricia McCausland
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Adp of the SNF Jan 1, 2025
Sanford
Organization · Fargo, ND
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Operational/Managerial Control Jan 1, 2019
Adp of the SNF Nov 7, 2025

Individual 		Adp of the SNF Oct 1, 2017
Nathan Thomas Schema
Individual 		Corporate Officer
President		 Jan 1, 2022
Adp of the SNF Jan 1, 2022
Thomas Richard Wenzel
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Adp of the SNF Jan 1, 2025
David Jonathan Shulkin
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
Deeandra Dawn Sandgren
Individual 		Operational/Managerial Control Jul 16, 2023
Adp of the SNF Jul 16, 2023
Neil Leslie Gulsvig
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024

Individual 		Adp of the SNF Feb 1, 2024
Kevin Victor Schieffer
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Adp of the SNF Jan 1, 2025
Lauris Nelson Molbert
Individual 		Corporate Director
Board Member		 May 30, 2024
Adp of the SNF May 30, 2024
Nicholas Wayne Olson
Individual 		Corporate Officer
Evp, Cfo, Treasurer		 Apr 8, 2024
Adp of the SNF Apr 8, 2024

All facility ownership & control disclosures 107

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

FacilityTypeRoleSince
Good Samaritan Society - Syracuse
Syracuse, NE · CCN 285138		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Mountain Lake
Mountain Lake, MN · CCN 245549		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Westbrook
Westbrook, MN · CCN 245595		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Holstein
Holstein, IA · CCN 165207		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Lemars
Le Mars, IA · CCN 165205		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society-Osceola
Osceola, NE · CCN 285193		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Souris Valley Care Center
Velva, ND · CCN 355109		 Skilled nursing facility Operational/Managerial Control Sep 1, 1991
Good Samaritan Society - Maplewood
Maplewood, MN · CCN 245221		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Olathe
Olathe, KS · CCN 175263		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - International Falls
International Falls, MN · CCN 245318		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Ambassador
New Hope, MN · CCN 245149		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - St Lukes
Kearney, NE · CCN 285192		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society- St Ansgar
Saint Ansgar, IA · CCN 165210		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - Liberal
Liberal, KS · CCN 175334		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Saint James
Saint James, MN · CCN 245593		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Scotland
Scotland, SD · CCN 435095		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Windom
Windom, MN · CCN 245558		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Center - Red Oak
Red Oak, IA · CCN 165191		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2019
Jan 1, 2019
Hoeger House
Olathe, KS · CCN 175491		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%) Jan 1, 2019
Good Samaritan Society - Luther Manor
Sioux Falls, SD · CCN 435044		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Bloomfield
Bloomfield, NE · CCN 285156		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - St Johns
Kearney, NE · CCN 285189		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - Hastings Village
Hastings, NE · CCN 285072		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Edgebrook Care Center
Edgerton, MN · CCN 245560		 Skilled nursing facility Operational/Managerial Control Apr 1, 1991
Good Samaritan Society - Canton
Canton, SD · CCN 435101		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Canistota
Canistota, SD · CCN 435087		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Sioux Falls Center
Sioux Falls, SD · CCN 435046		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Sioux Falls Village
Sioux Falls, SD · CCN 435045		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Stillwater
Stillwater, MN · CCN 245207		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Decatur County
Oberlin, KS · CCN 175356		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Focusone Solutions LLC
Parsons, KS · CCN 175210		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Howard
Howard, SD · CCN 435075		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - New Underwood
New Underwood, SD · CCN 435104		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - Tyndall
Tyndall, SD · CCN 435098		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Larimore
Larimore, ND · CCN 355097		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Inver Grove Heights
Inver Grove Heights, MN · CCN 245285		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Bottineau
Bottineau, ND · CCN 355093		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Valley Vista
Wamego, KS · CCN 175359		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan - Ellis
Ellis, KS · CCN 175328		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Park River
Park River, ND · CCN 355089		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - Hays
Hays, KS · CCN 175322		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan - Hutchinson Village
Hutchinson, KS · CCN 175260		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Waconia
Waconia, MN · CCN 245234		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Lakota
Lakota, ND · CCN 355104		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Specialty Care Community
Robbinsdale, MN · CCN 245279		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society Oakes
Oakes, ND · CCN 355095		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - Algona
Algona, IA · CCN 165190		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Waukon
Waukon, IA · CCN 165240		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Davenport
Davenport, IA · CCN 165169		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan - Ellsworth Village
Ellsworth, KS · CCN 175231		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Mar 28, 2025
Good Samaritan Society - Forest City
Forest City, IA · CCN 165213		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Estherville
Estherville, IA · CCN 165192		 Skilled nursing facility Operational/Managerial Control Jan 1, 2019
Good Samaritan Society - Manson
Manson, IA · CCN 165236		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Ottumwa
Ottumwa, IA · CCN 165211		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - de Smet
De Smet, SD · CCN 435074		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Fort Collins Village
Fort Collins, CO · CCN 065227		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Loveland Village
Loveland, CO · CCN 065139		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - George
George, IA · CCN 165247		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Howard Lake
Howard Lake, MN · CCN 245278		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Albert Lea
Albert Lea, MN · CCN 245441		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Comforcare
Austin, MN · CCN 245317		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Bethany
Brainerd, MN · CCN 245500		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Albion
Albion, NE · CCN 285197		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Woodland
Brainerd, MN · CCN 245488		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Atkinson
Atkinson, NE · CCN 285177		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Pipestone
Pipestone, MN · CCN 245591		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Alma
Alma, NE · CCN 285185		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Blackduck
Blackduck, MN · CCN 245600		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Luverne
Luverne, MN · CCN 245568		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society-Millard
Omaha, NE · CCN 285098		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - Beatrice
Beatrice, NE · CCN 285203		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Jackson
Jackson, MN · CCN 245455		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society Superior
Superior, NE · CCN 285187		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Auburn
Auburn, NE · CCN 285112		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - Battle Lake
Battle Lake, MN · CCN 245403		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Pine River
Pine River, MN · CCN 245476		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Miller
Miller, SD · CCN 435124		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Salem Lutheran Homes
Elk Horn, IA · CCN 165155		 Skilled nursing facility Operational/Managerial Control (100%) Nov 20, 2007
Good Samaritan Society - Grand Island Village
Grand Island, NE · CCN 285285		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Litzenberg Memorial Long Term Care
Central City, NE · CCN 285292		 Skilled nursing facility Operational/Managerial Control Jul 1, 2017
Good Samaritan Society - Atwood
Atwood, KS · CCN 175366		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2019
Good Samaritan Society - St Martin Village
Rapid City, SD · CCN 435134		 Skilled nursing facility Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - St Vincent'S
Bismarck, ND · CCN 355060		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Focusone Solutions LLC
Bismarck, ND · CCN 355125		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Miller Pointe
Mandan, ND · CCN 355106		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Wagner
Wagner, SD · CCN 435137		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019
Jan 1, 2019
Good Samaritan Society Home Care
Devils Lake, ND · CCN 357007		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society Northwest Kansas Home Care
Saint Francis, KS · CCN 178050		 Home health agency 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Home Care
Robbinsdale, MN · CCN 248086		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society - Home Care
Saint Peter, MN · CCN 248084		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society - Home Health
Nisswa, MN · CCN 248093		 Home health agency Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Home Care of Southeast Nebraska
Auburn, NE · CCN 287115		 Home health agency 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2019
Jan 1, 2019
Good Samaritan Society - Home Care of Central Nebraska
Kearney, NE · CCN 287129		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society - Village Home Health
Grand Island, NE · CCN 287104		 Home health agency Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society - Home Care of Southwest Minnesota
Windom, MN · CCN 248061		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society Home Health of Central Kansas
Hays, KS · CCN 178064		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society- Home Care
Preston, MN · CCN 248009		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society Home Care
Saint Croix Falls, WI · CCN 527309		 Home health agency Operational/Managerial Control (100%) Jan 1, 2019
Good Samaritan Society Home Care
Indianola, IA · CCN 167416		 Home health agency Operational/Managerial Control Jan 1, 2019
Good Samaritan Society - Home Care
Davenport, IA · CCN 167407		 Home health agency Operational/Managerial Control Jan 1, 2019

Showing 100 of 107 facilities.

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200622000659 ND Part a Provider - Skilled Nursing Facility 1951218817 Practice locations: Mandan, ND

National Provider Directory

Tax ID family
Red Oak Iowa Good Sam C (210 organizations share this tax ID)
Part of
Red Oak Iowa Good Sam C

Locations

1011 Boundary St NW
Mandan, ND 58554
Phone (701) 323-1395

3500 21st St SE
Mandan, ND 58554
Phone (701) 663-4274

201 14th St NW
Mandan, ND 58554
Phone (701) 663-0359

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1092A ND Yes

Addresses

Primary practice location

1011 Boundary St NW
Mandan, ND 58554-1608

Mailing address

1011 Boundary St NW
Mandan, ND 58554-1608
Phone (701) 323-1411

Other identifiers

IdentifierTypeStateIssuer
1092AOtherNDSTATE
4820OtherNDBCBS
1469246MedicaidND

Other names

  • Sunset Drive - a Prospera Community Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Mandan, ND

All providers in Mandan, ND · Skilled Nursing Facility in North Dakota

Sources for this page

Verify at the official NPI Registry.