The Evangelical Lutheran Good Samaritan Society

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Practice address

4825 Jericho Way
Rapid City, SD 57702-9694

Phone

(605) 343-1919

NPI assigned

Sep 6, 2017

Last updated

Nov 28, 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

Grant Tribble

Title

Evp - Finance

Phone

(605) 362-3100

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881112290. Details of each certification follow.

• CCN 435134 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 435134

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 13, 2017

Last certification

Mar 27, 2025

Beds

60

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Good Samaritian Society

Organization structure

CorporationNon-profit

Incorporated

Sep 29, 1922 in ND

Enrollment address

4941 Saint Martins Dr
Rapid City, SD 57702-8679

Nursing home name

GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE

Affiliated entity

GOOD SAMARITAN SOCIETY

Listed as

Good Samaritan Society - St Martin VillageCCN 435134 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 13, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6057.9 residents per day on average

Chain

Good Samaritan Society92 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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 13

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 Lennox Good Samaritan Center

  • Assisted Living Facility
  • Lennox, SD
  • NPI 1548300189
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Canton

  • Skilled Nursing Facility
  • Canton, SD
  • NPI 1578544482
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Prairie Creek Assisted Living

  • Assisted Living Facility
  • Sioux Falls, SD
  • NPI 1629405451
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Tyndall

  • Skilled Nursing Facility
  • Tyndall, SD
  • NPI 1639160914
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Selby Good Samaritan Center

  • Assisted Living Facility
  • Selby, SD
  • NPI 1639219157
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  • Assisted Living Facility
  • Clear Lake, SD
  • NPI 1639219264
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Miller

  • Skilled Nursing Facility
  • Miller, SD
  • NPI 1720069495
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Sioux Falls Village

  • Skilled Nursing Facility
  • Sioux Falls, SD
  • NPI 1730161134
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Sioux Falls Center

  • Skilled Nursing Facility
  • Sioux Falls, SD
  • NPI 1780272500
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Tyndall

  • Skilled Nursing Facility
  • Tyndall, SD
  • NPI 1790373686
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care Private Duty

  • Home Health Agency
  • Sioux Falls, SD
  • NPI 1801119052
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Tripp Good Samaritan Center

  • Assisted Living Facility
  • Tripp, SD
  • NPI 1871633859
  NPD tax ID

All disclosed owners & managing parties 22

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.

• Priscilla Faith Bade, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rapid City, SD
  • NPI 1841283686

  Contracted Managing Employee

  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.

• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Health of the Black Hills

  • Home Health Agency
  • Rapid City, SD
  • NPI 1043616329

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - New Underwood

  • Skilled Nursing Facility
  • New Underwood, SD
  • NPI 1083605315

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Sioux Falls Center

  • Skilled Nursing Facility
  • Sioux Falls, SD
  • NPI 1326029083

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Canistota

  • Skilled Nursing Facility
  • Canistota, SD
  • NPI 1336121748

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Howard

  • Skilled Nursing Facility
  • Howard, SD
  • NPI 1396726055

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Scotland

  • Skilled Nursing Facility
  • Scotland, SD
  • NPI 1417948704

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Wagner

  • Skilled Nursing Facility
  • Wagner, SD
  • NPI 1427030543

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - De Smet

  • Skilled Nursing Facility
  • De Smet, SD
  • NPI 1528049947

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Canton

  • Skilled Nursing Facility
  • Canton, SD
  • NPI 1578544482

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Tyndall

  • Skilled Nursing Facility
  • Tyndall, SD
  • NPI 1639160914

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Miller

  • Skilled Nursing Facility
  • Miller, SD
  • NPI 1720069495

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Sioux Falls Village

  • Skilled Nursing Facility
  • Sioux Falls, SD
  • NPI 1730161134

  The Evangelical Lutheran Good Samaritan Society

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Priscilla Faith Bade, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rapid City, SD
  • NPI 1841283686
  NPD (past)

Affiliated clinicians 3

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

• Priscilla Faith Bade, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Rapid City, SD
  • NPI 1841283686

  Nursing home

  Care Compare affiliation
• Luke Joseph Hushagen, M.D.

  • Internal Medicine Physician
  • Rapid City, SD
  • NPI 1205369105

  Nursing home

  Care Compare affiliation
• Erika Toyoda, M.D.

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1346690559

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1881112290",
    "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",
            "telephone_number": "650-362-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 JERICHO WAY",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577029694",
            "telephone_number": "605-343-1919"
        }
    ],
    "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": "2017-09-06",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "EVP - FINANCE",
        "authorized_official_telephone_number": "605-362-3100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "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": []
}

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• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Home Health of the Black Hills)
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• The Hills Chiropractic
• The Imaging Center, LLC (Dakota PET CT and MRI)
• The Olson Home
• The Rehab Doctors PC

• Skilled Nursing Facility in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.