NPIMap

Organization Active NPI

Good Samaritan-Sanford Community Health Services

  • Assisted Living Facility
  • Sioux Falls, SD
National Provider Identifier
1891921565
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GOOD SAMARITAN-SANFORD COMMUNITY HEALTH SERVICES
Practice address
1806 S Dorothy Ave
Sioux Falls, SD 57106-3826
Phone
(605) 361-0056
Fax
(605) 361-0158
NPI assigned
Jun 8, 2009
Organization subpart
Yes
Parent organization
GOOD SAMARITAN-SANFORD COMMUNITY HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Raye Nae Nylander
Title
Chief Financial Officer, Treasurer
Phone
(605) 362-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1806 S Dorothy Ave
Sioux Falls, SD 57106-3826

Mailing address

4800 W 57TH St
Sioux Falls, SD 57108-2239

Other identifiers 1

IdentifierTypeStateIssuer
9570215MedicaidSD

Other names 1

  • Prairie Crossings Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan - Sioux Valley Community Health Services3 organizations share this tax ID, including this one
Part of
Good Samaritan - Sioux Valley Community Health Services

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1891921565",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 S DOROTHY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063826",
            "telephone_number": "605-361-0056",
            "fax_number": "605-361-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN-SANFORD COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN-SANFORD COMMUNITY HEALTH SERVICES",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "RAYE NAE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER, TREASURER",
        "authorized_official_telephone_number": "605-362-3100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570215",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Crossings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.