THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (SCOTLAND GOOD SAMARITAN CENTER) - NPI NUMBER 1245370881

Summary

Provider Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (SCOTLAND GOOD SAMARITAN CENTER)

NPI Number: 1245370881

Clasification: Assisted Living Facility (310400000X)

Address:
130 6TH ST
SCOTLAND, SD
ZIP 57059

Phone Number: (605) 583-2216



Detailed Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is an assisted living facility in Scotland, SD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. The assigned NPI number for this provider is 1245370881 and is registered as an organization entity type.
The provider Is Doing Business As Scotland Good Samaritan Center.

The provider's business address is:

130 6TH ST
SCOTLAND, SD
ZIP 57059-111
Phone: (605) 583-2216
Fax: (605) 583-2256

The provider's authorized official is Raye Nae Nylander .
The authorized official title is Vice President, Cfo and has the following contact phone number (605) 362-3100.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/9/2007.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1730347097 SALEM ELDERLY LIVING LLC
Assisted Living Facility
1841241684 BARE ASSETS III, LLC
Assisted Living Facility





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 310400000X Assisted Living Facility Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1245370881 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name SCOTLAND GOOD SAMARITAN CENTER Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 130 6TH ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name SCOTLAND The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name SD The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 570592111 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 6055832216 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 6055832256 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 2/6/2007 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 7/9/2007 The date that a record was last updated or changed.
16 Authorized Official Last Name NYLANDER The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name RAYE NAE The first name of the authorized official.
18 Authorized Official Title or Position VICE PRESIDENT, CFO The title or position of the authorized official.
19 Authorized Official Telephone Number 6053623100 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 310400000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Authorized Official Name Prefix Text MRS.

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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