Organization Active NPI

Good Samaritan Society-Echo Ridge

  • Assisted Living Facility
  • Rapid City, SD
National Provider Identifier
1740438670
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
46860 Issued in SD
Legal business name
GOOD SAMARITAN SOCIETY-ECHO RIDGE
Practice address
931 Fox Run Dr
Rapid City, SD 57701-2386
Phone
(605) 718-1800
Fax
(605) 718-1801
NPI assigned
Sep 4, 2008
Organization subpart
Yes
Parent organization
GOOD SAMARITAN SOCIETYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald Kortemeyer
Title
Administrator
Phone
(605) 718-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 46860 SD Primary

Addresses

Primary practice location

931 Fox Run Dr
Rapid City, SD 57701-2386

Mailing address

931 Fox Run Dr
Rapid City, SD 57701-2386
Phone (605) 718-1800

Other names 1

  • Manor Other name

National Provider Directory

National Provider Directory
Part of
Red Oak Iowa Good Sam C

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1740438670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 FOX RUN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012386",
            "telephone_number": "605-718-1800",
            "fax_number": "605-718-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 FOX RUN DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012386",
            "telephone_number": "605-718-1800",
            "fax_number": "605-718-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SOCIETY-ECHO RIDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN SOCIETY",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "KORTEMEYER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-718-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "46860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.