Active NPI
The Evangelical Lutheran Good Samaritan Society
- Skilled Nursing Facility
- Algona, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 412 W Kennedy St
Algona, IA 50511-3100 - Phone
- (515) 295-2414
- Fax
- (515) 295-5593
- NPI assigned
- Oct 25, 2005
- Organization subpart
- Yes
- Parent organization
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Raye Nae Nylander
- Title
- Cfo
- Phone
- (605) 362-3100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary | ||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
412 W Kennedy St
Algona, IA 50511-3100
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Phone (605) 362-3100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F248085 | Other | IA | MIDLANDS CHOICE |
| 0801415 | Medicaid | IA | |
| 65190 | Other | IA | BLUE CROSS BLUE SHIELD |
Other names 1
- Good Samaritan Society - Algona
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070821000183 | IA | Part A Provider - Skilled Nursing Facility | 1951218817 | Practice locations: Algona, IA |
Skilled nursing facility certification: CCN 165190
- Legal name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Doing business as
- GOOD SAMARITAN SOCIETY - ALGONA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1993
- Last certification
- Nov 21, 2024
- Beds
- 72
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 29, 1922 in ND
- Enrollment address
- 412 W Kennedy St
Algona, IA 50511-3100 - Nursing home name
- GOOD SAMARITAN - ALGONA
- Affiliated entity
- GOOD SAMARITAN SOCIETY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Good Samaritan - Algona
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1993
- Medicare certification status
- Active
- Certified beds
- 72
- Chain
- Good Samaritan Society
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0647963 | Good Samaritan Society - Algona | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Red Oak Iowa Good Sam C
- Part of
- Red Oak Iowa Good Sam C
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.
-
- Skilled Nursing Facility
- Le Mars, IA
- NPI 1336139906
-
- Home Health Agency
- Ottumwa, IA
- NPI 1396991220
-
- Home Health Agency
- Indianola, IA
- NPI 1447416755
-
- Community Based Hospice Care Agency
- Ottumwa, IA
- NPI 1528224813
-
- Home Health Agency
- Bettendorf, IA
- NPI 1588091508
-
- Skilled Nursing Facility
- Estherville, IA
- NPI 1619967247
-
- Skilled Nursing Facility
- Red Oak, IA
- NPI 1639169139
-
- Skilled Nursing Facility
- Villisca, IA
- NPI 1720078231
-
- Skilled Nursing Facility
- Davenport, IA
- NPI 1841280476
-
- Skilled Nursing Facility
- Forest City, IA
- NPI 1871583419
-
- Nursing Facility/Intermediate Care Facility
- Waukon, IA
- NPI 1912115635
-
- Skilled Nursing Facility
- George, IA
- NPI 1922098565
Ownership & related parties
All disclosed owners & managing parties 39
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Omnicare LLC | Adp of the SNF | Jan 1, 2025 | |
| Marnie Lynn Ventling-Herrmann | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Tony Lee Morrison | Operational/Managerial Control | Jan 1, 2019 | |
| Adp of the SNF | Jan 1, 2019 | ||
| Adp of the SNF | Oct 1, 2017 | ||
| Adp of the SNF | Oct 1, 2017 | ||
| The Evangelical Lutheran Good Samaritan Society | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 100% |
| Adp of the SNF | Jan 1, 2019 | ||
| Focusone Solutions | Adp of the SNF | Mar 4, 2024 | |
| Brent Gerard Teiken | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Joel Adam Fluit | Corporate Officer | Oct 1, 2022 | |
| Adp of the SNF | Oct 1, 2022 | ||
| Dana James Dykhouse | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Adp of the SNF | Mar 25, 2022 | ||
| DTN Staffing Inc | Adp of the SNF | Aug 2, 2024 | |
| Andrew Stewart North | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Adp of the SNF | Apr 14, 2024 | ||
| Aimee Nicole Middleton | Corporate Officer | Jan 27, 2022 | |
| Adp of the SNF | Jan 27, 2022 | ||
| Stephanie Marie Herseth Sandlin | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Grape Tree Medical Staffing LLC | Adp of the SNF | Apr 13, 2018 | |
| William Joseph Gassen | Corporate Officer | May 30, 2024 | |
| Corporate Director | May 30, 2024 | ||
| Adp of the SNF | May 30, 2024 | ||
| George Joseph Brown | Corporate Director | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Joseph Bartolo | Operational/Managerial Control | Nov 20, 2022 | |
| Adp of the SNF | Nov 20, 2022 | ||
| Adp of the SNF | Mar 12, 2018 | ||
| Wesley Owen Engbrecht | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Adp of the SNF | Feb 1, 2024 | ||
| Maureen Patricia McCausland | Corporate Director | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Sanford | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | 100% |
| Adp of the SNF | Dec 4, 2025 | ||
| Michael R Lampe | Operational/Managerial Control | May 1, 2019 | |
| Adp of the SNF | May 1, 2019 | ||
| Adp of the SNF | Jul 1, 2013 | ||
| Adp of the SNF | Oct 1, 2017 | ||
| Nathan Thomas Schema | Corporate Officer | Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Thomas Richard Wenzel | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| David Jonathan Shulkin | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Deeandra Dawn Sandgren | Operational/Managerial Control | Jul 16, 2023 | |
| Adp of the SNF | Jul 16, 2023 | ||
| Neil Leslie Gulsvig | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Adp of the SNF | Oct 1, 2017 | ||
| Kevin Victor Schieffer | Corporate Director | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Lauris Nelson Molbert | Corporate Director | May 30, 2024 | |
| Adp of the SNF | May 30, 2024 | ||
| Nicholas Wayne Olson | Corporate Officer | Apr 8, 2024 | |
| Adp of the SNF | Apr 8, 2024 | ||
| Adp of the SNF | Jul 3, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Algona, IA
- NPI 1902818594
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 107
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Good Samaritan Society - Syracuse | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Mountain Lake | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Westbrook | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Holstein | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Lemars | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society-Osceola | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Souris Valley Care Center | Skilled nursing facility | Operational/Managerial Control | Sep 1, 1991 |
| Good Samaritan Society - Maplewood | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Olathe | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - International Falls | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Ambassador | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - St Lukes | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society- St Ansgar | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Liberal | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Saint James | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Scotland | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Windom | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Center - Red Oak | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2019 Jan 1, 2019 |
| Hoeger House | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (50%) | Jan 1, 2019 |
| Good Samaritan Society - Luther Manor | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bloomfield | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - St Johns | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Hastings Village | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Edgebrook Care Center | Skilled nursing facility | Operational/Managerial Control | Apr 1, 1991 |
| Good Samaritan Society - Canton | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Canistota | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Sioux Falls Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Sioux Falls Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Stillwater | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Decatur County | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Focusone Solutions LLC | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Howard | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - New Underwood | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Tyndall | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Larimore | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Inver Grove Heights | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bottineau | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Valley Vista | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan - Ellis | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Park River | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Hays | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan - Hutchinson Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Waconia | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Lakota | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Specialty Care Community | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society Oakes | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Waukon | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Davenport | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan - Ellsworth Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Mar 28, 2025 |
| Good Samaritan Society - Forest City | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Estherville | Skilled nursing facility | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Manson | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Ottumwa | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - de Smet | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Fort Collins Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Loveland Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - George | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Howard Lake | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Albert Lea | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Comforcare | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bethany | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Albion | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Woodland | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Atkinson | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Pipestone | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Alma | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Blackduck | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Luverne | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society-Millard | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Beatrice | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Jackson | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society Superior | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Auburn | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Battle Lake | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Pine River | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Miller | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Salem Lutheran Homes | Skilled nursing facility | Operational/Managerial Control (100%) | Nov 20, 2007 |
| Good Samaritan Society - Grand Island Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Litzenberg Memorial Long Term Care | Skilled nursing facility | Operational/Managerial Control | Jul 1, 2017 |
| Good Samaritan Society - Atwood | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - St Martin Village | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Sunset Drive | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - St Vincent'S | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Focusone Solutions LLC | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Miller Pointe | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Wagner | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Northwest Kansas Home Care | Home health agency | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Health | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Home Care of Southeast Nebraska | Home health agency | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Home Care of Central Nebraska | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Village Home Health | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Home Care of Southwest Minnesota | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Home Health of Central Kansas | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society- Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Home Care | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
Facilities with the same owner 106
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Elk Horn, IA
- NPI 1760460489
The Evangelical Lutheran Good Samaritan Society
-
- Home Health Agency
- Davenport, IA
- NPI 1083735963
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Manson, IA
- NPI 1114917614
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Saint Ansgar, IA
- NPI 1134119647
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Ottumwa, IA
- NPI 1235129735
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Holstein, IA
- NPI 1275523821
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Waukon, IA
- NPI 1336139856
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Le Mars, IA
- NPI 1336139906
The Evangelical Lutheran Good Samaritan Society
-
- Home Health Agency
- Indianola, IA
- NPI 1447416755
The Evangelical Lutheran Good Samaritan Society
-
- Community Based Hospice Care Agency
- Ottumwa, IA
- NPI 1528224813
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Estherville, IA
- NPI 1619967247
The Evangelical Lutheran Good Samaritan Society
-
- Skilled Nursing Facility
- Red Oak, IA
- NPI 1639169139
The Evangelical Lutheran Good Samaritan Society
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635120000000",
"number": "1952391583",
"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": "412 W KENNEDY ST",
"city": "ALGONA",
"state": "IA",
"postal_code": "505113100",
"telephone_number": "515-295-2414",
"fax_number": "515-295-5593"
}
],
"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": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "NYLANDER",
"authorized_official_first_name": "RAYE NAE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "605-362-3100",
"authorized_official_name_prefix": "Ms."
},
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "F248085",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0801415",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "65190",
"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 - Algona",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Good Samaritan Society - Algona",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Algona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.