The Evangelical Lutheran Good Samaritan Society

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

Good Samaritan Society - Home Health Care

Practice address

309 N Mandan St
Bismarck, ND 58501-3886

Phone

(701) 255-7575

NPI assigned

Jan 12, 2012

Last updated

Sep 20, 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

Raye Nae Nylander

Title

Ceo

Phone

(605) 362-3100

Specialties & licenses 1

Addresses

Other names 1

• Good Samaritan Society - Home Health Care Doing business as

Electronic endpoints 1

Part of

Good Samaritan Home

Locations

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

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1629348230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MANDAN ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013886",
            "telephone_number": "701-255-7575"
        }
    ],
    "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": "2012-01-12",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "RAYE NAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-362-3100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 - Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Society - Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Deprescribing Clinic, LLC
• The Enrichment Garden
• The Evangelical Lutheran Good Samaritan Society (Augusta Place - a Prospera Community)
• The Evangelical Lutheran Good Samaritan Society (St Vincents - a Prospera Community)
• The Evangelical Lutheran Good Samaritan Society (Augusta Place - a Prospera Community)
• The Evangelical Lutheran Good Samaritan Society (St. Vincent's - a Prospera Community)
• The Evangelical Lutheran Good Samaritan Society (Augusta Place - a Prospera Community)
• The Kid's Therapy Center LLC
• Elizabeth Ann Thein, MS, LPCC
• Callie Theis

• Home Health Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Home Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.