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 - Davenport

Practice address

700 Waverly Rd
Davenport, IA 52804-4317

Phone

(563) 324-1651

Fax

(563) 336-3963

NPI assigned

Oct 25, 2005

Last updated

May 30, 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

Joel Fluit

Title

Chief Financial Officer

Phone

(605) 328-6585

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Good Samaritan Society - Davenport 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 1841280476. Details of each certification follow.

• CCN 165169 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165169

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - DAVENPORT

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 21, 1992

Last certification

Jan 15, 2025

Beds

119

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Sep 29, 1922 in ND

Enrollment address

700 Waverly Rd
Davenport, IA 52804-4317

Nursing home name

GOOD SAMARITAN - DAVENPORT

Affiliated entity

GOOD SAMARITAN SOCIETY

Listed as

Good Samaritan - DavenportCCN 165169 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Feb 21, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11996.7 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 17

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 - 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
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Villisca

  • Skilled Nursing Facility
  • Villisca, IA
  • NPI 1720078231
  NPD tax ID

Locations

All disclosed owners & managing parties 38

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.

• John Vu, DO

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1497250336

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 107

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

Showing 100 of 107 facilities.

Facilities with the same owner 106

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

• American Lutheran Church

  dba Salem Lutheran Homes

  • Nursing Facility/Intermediate Care Facility
  • Elk Horn, IA
  • NPI 1760460489

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care

  • Home Health Agency
  • Davenport, IA
  • NPI 1083735963

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Manson

  • Skilled Nursing Facility
  • Manson, IA
  • NPI 1114917614

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - St Ansgar

  • Skilled Nursing Facility
  • Saint Ansgar, IA
  • NPI 1134119647

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan - Ottumwa

  • Skilled Nursing Facility
  • Ottumwa, IA
  • NPI 1235129735

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Holstein

  • Skilled Nursing Facility
  • Holstein, IA
  • NPI 1275523821

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Waukon

  • Skilled Nursing Facility
  • Waukon, IA
  • NPI 1336139856

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Brentwood Center

  • Skilled Nursing Facility
  • Le Mars, IA
  • NPI 1336139906

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care

  • Home Health Agency
  • Indianola, IA
  • NPI 1447416755

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Hospice

  • Community Based Hospice Care Agency
  • Ottumwa, IA
  • NPI 1528224813

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Estherville

  • Skilled Nursing Facility
  • Estherville, IA
  • NPI 1619967247

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Red Oak

  • Skilled Nursing Facility
  • Red Oak, IA
  • NPI 1639169139

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership

Affiliated clinicians 2

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

• Brooke Elizabeth Turek

  • Student in an Organized Health Care Education/Training Program
  • Davenport, IA
  • NPI 1649071523

  Nursing home

  Care Compare affiliation
• John Vu, DO

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1497250336

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1841280476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-312-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WAVERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528044317",
            "telephone_number": "563-324-1651",
            "fax_number": "563-336-3963"
        }
    ],
    "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": "2005-10-25",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "FLUIT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "605-328-6585"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801423",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65169",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F248086",
            "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 - Davenport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Society - Davenport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Davenport, IA
• Providers in Davenport, 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 May 30, 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.