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 - Villisca

Practice address

202 Central Ave
Villisca, IA 50864-1025

Phone

(712) 826-9592

Fax

(712) 826-3772

NPI assigned

Oct 26, 2005

Last updated

Aug 14, 2026By 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

Tony Morrison

Title

VP Chief Revenue Cycle Officer

Phone

(605) 328-8380

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Good Samaritan Society - Villisca Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720078231. Details of each certification follow.

• CCN 165189 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165189

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - VILLISCA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1993

Last certification

Dec 5, 2024

Beds

46

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

202 Central Ave
Villisca, IA 50864-1025

Nursing home name

GOOD SAMARITAN - VILLISCA

Affiliated entity

GOOD SAMARITAN SOCIETY

Listed as

Good Samaritan - VilliscaCCN 165189 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4634.4 residents per day on average

Chain

Good Samaritan Society92 facilities in the chain

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 18

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 - West Union

  • Skilled Nursing Facility
  • West Union, IA
  • NPI 1225028749
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan - Ottumwa

  • Skilled Nursing Facility
  • Ottumwa, IA
  • NPI 1235129735
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Indianola

  • Skilled Nursing Facility
  • Indianola, IA
  • NPI 1255321816
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Holstein

  • Skilled Nursing Facility
  • Holstein, IA
  • NPI 1275523821
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Waukon

  • Skilled Nursing Facility
  • Waukon, IA
  • NPI 1336139856
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Brentwood Center

  • Skilled Nursing Facility
  • Le Mars, IA
  • NPI 1336139906
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Health

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1396991220
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care

  • Home Health Agency
  • Indianola, IA
  • NPI 1447416755
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Hospice

  • Community Based Hospice Care Agency
  • Ottumwa, IA
  • NPI 1528224813
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Services@Home

  • Home Health Agency
  • Bettendorf, IA
  • NPI 1588091508
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Estherville

  • Skilled Nursing Facility
  • Estherville, IA
  • NPI 1619967247
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Red Oak

  • Skilled Nursing Facility
  • Red Oak, IA
  • NPI 1639169139
  NPD tax ID

All disclosed owners & managing parties 23

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.

• Steven Allen Freeman, MD

  • Internal Medicine Physician
  • Corning, IA
  • NPI 1497770176

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 108

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

Showing 100 of 108 facilities.

Affiliated clinicians 8

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

• Daniela M Donoso Pena, MD

  • Internal Medicine Physician
  • Red Oak, IA
  • NPI 1265744916

  Nursing home

  Care Compare affiliation
• Steven Allen Freeman, MD

  • Internal Medicine Physician
  • Corning, IA
  • NPI 1497770176

  Nursing home

  Care Compare affiliation
• Warren C Hayes, M.D.

  • Family Medicine Physician
  • Red Oak, IA
  • NPI 1932215274

  Nursing home

  Care Compare affiliation
• Michael J Mahoney, M.D.

  • Internal Medicine Physician
  • Clarinda, IA
  • NPI 1689782336

  Nursing home

  Care Compare affiliation
• Bryon Jon Schaeffer, M.D.

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1174561476

  Nursing home

  Care Compare affiliation
• Thomas Z Schmadeke, PA

  • Physician Assistant
  • Red Oak, IA
  • NPI 1760455083

  Nursing home

  Care Compare affiliation
• William John Shelton, M.D.

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1952349268

  Nursing home

  Care Compare affiliation
• Eric Kyes Bonness, M.D.

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1194085514

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1720078231",
    "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": "202 CENTRAL AVE",
            "city": "VILLISCA",
            "state": "IA",
            "postal_code": "508641025",
            "telephone_number": "712-826-9592",
            "fax_number": "712-826-3772"
        }
    ],
    "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": "2005-10-26",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "VP CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801571",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65189",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F248115",
            "state": "IA"
        }
    ],
    "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 - Villisca",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Society - Villisca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montgomery County Memorial Hospital (Villisca Medical Clinic)
• Montgomery County Memorial Hospital (Villisca Medical Clinic)
• Richard Mullen, IADC
• Courtney Renee Myers
• Brianna Jean Schaffer, ARNP
• Villisca Community Schools
• Villisca Family Health Center
• Renee Elizabeth Williams

• Skilled Nursing Facility in Villisca, IA
• Providers in Villisca, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.