The Evangelical Lutheran Good Samaritan Society
Organization Active NPI Skilled Nursing Facility · Mt Carroll, IL
NPI 1831189455 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1831189455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 1006 N Lowden Rd
Mt Carroll, IL 61053-9476 - Phone
- (815) 244-7715
- Fax
- (815) 244-3127
- NPI assigned
- Oct 25, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
- Name
- Ms. Raye Nae Nylander
- Title
- Cfo
- Phone
- (605) 362-3100
Member of 1
National Provider Directory
- Part of
- Red Oak Iowa Good Sam C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | ||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
1006 N Lowden Rd
Mt Carroll, IL 61053-9476
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Phone (605) 362-3100
Other names
- Good Samaritan Society - Mount Carroll
Other providers in Mt Carroll, IL
- Sinnissippi Centers, Inc.
- Sinnissippi Centers, Inc.
- Laura Marie Smith
- Stephanie K Snider
- Melody Beth Stauffer
- Julie Wardell
- Sherry L Wichman
- Amy Wiltshire
- Sabrina Lee Woodbury
All providers in Mt Carroll, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.