Provider Type Icon

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI 1699757005


NPI Information

NPI: 1699757005
Provider Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing Business As: GOOD SAMARITAN SOCIETY - MANOR ON MAIN

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
301 MAIN AVE
NOONAN, ND
ZIP 58765
Phone: (701) 925-5670
Get Directions

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is a nursing facility intermediate care facility in Noonan, ND. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI is 1699757005. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Society - Manor On Main.

The provider's business location address is:

301 MAIN AVE
NOONAN, ND
ZIP 58765-069
Phone: (701) 925-5670
Fax: (701) 925-5718

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

The enumeration date for this NPI number is 11/19/2005 and was last updated on 10/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1313M00000XNursing Facility/Intermediate Care FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130711MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.