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 - George

Practice address

324 1St Ave N
George, IA 51237-1029

Phone

(712) 475-3391

Fax

(712) 475-3900

NPI assigned

Oct 25, 2005

Last updated

Jun 18, 2024By 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 A Fluit

Title

Cfo

Phone

(605) 362-5416

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Good Samaritan Society - George 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 1922098565. Details of each certification follow.

• CCN 165247 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165247

Legal name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

GOOD SAMARITAN SOCIETY - GEORGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1995

Last certification

Aug 29, 2024

Beds

36

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Good Samaritan Society

Organization structure

CorporationNon-profit

Incorporated

Sep 29, 1922 in ND

Enrollment address

324 1St Ave N
George, IA 51237-1029

Nursing home name

GOOD SAMARITAN - GEORGE

Affiliated entity

GOOD SAMARITAN SOCIETY

Listed as

Good Samaritan - GeorgeCCN 165247 · All quality measures

Overall star rating

5 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Mar 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3632.5 residents per day on average

Chain

Good Samaritan Society92 facilities in the chain

Penalties (3 years)

2Fines totaling $18,142

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 14

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 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
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Davenport

  • Skilled Nursing Facility
  • Davenport, IA
  • NPI 1841280476
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Forest City

  • Skilled Nursing Facility
  • Forest City, IA
  • NPI 1871583419
  NPD tax ID
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Waukon

  • Nursing Facility/Intermediate Care Facility
  • Waukon, IA
  • NPI 1912115635
  NPD tax ID

All disclosed owners & managing parties 36

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.

• Chester Penn De Jong, M.D.

  • Family Medicine Physician
  • Rock Rapids, IA
  • NPI 1952484909

  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 4

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

• Chester Penn De Jong, M.D.

  • Family Medicine Physician
  • Rock Rapids, IA
  • NPI 1952484909

  Nursing home

  Care Compare affiliation
• Scott Alan Lichty, M.D.

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1124129127

  Nursing home

  Care Compare affiliation
• David James Springer, M.D.

  • Family Medicine Physician
  • Rock Rapids, IA
  • NPI 1649353681

  Nursing home

  Care Compare affiliation
• Rachel R Wilcinot, DO

  • Family Medicine Physician
  • Sibley, IA
  • NPI 1891959839

  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": "1718668800000",
    "number": "1922098565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5038",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175038",
            "telephone_number": "605-362-3100",
            "fax_number": "605-362-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 1ST AVE N",
            "city": "GEORGE",
            "state": "IA",
            "postal_code": "512371029",
            "telephone_number": "712-475-3391",
            "fax_number": "712-475-3900"
        }
    ],
    "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": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "FLUIT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-362-5416"
    },
    "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": "0228742",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801464",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65247",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F248090",
            "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 - George",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Samaritan Society - George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George-Little Rock Community School
• Leah Marie Mulder
• Kelly Ross Randall, MS,OTR/L, CLT
• Ranger All-Season Corporation
• Lane Gary Stille, DDS

• Skilled Nursing Facility in George, IA
• Providers in George, 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 Jun 18, 2024; 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.