The Evangelical Lutheran Good Samaritan Society, NPI 1114908878
Skilled Nursing Facility in New Hope, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114908878
NPI Entity Type Organization
Provider Name The Evangelical Lutheran Good Samaritan Society
Doing Business As
Subpart of Organization The Evangelical Lutheran Good Samaritan Society
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 8100 Medicine Lake Rd, New Hope, MN, US
Provider Mailing Address Po Box 5038, Sioux Falls, SD, US, 571175038
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MS. Raye Nae Nylander
Official Position CFO
Phone 605-362-3100

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

Description (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

Good Samaritan Society - Ambassador
Doing Business As

Business Address

The Evangelical Lutheran Good Samaritan Society
8100 Medicine Lake Rd

New Hope, MN, US

Phone: 763-544-4171
Fax: 763-544-5526

Mailing Address

The Evangelical Lutheran Good Samaritan Society
Po Box 5038
Sioux Falls, SD, US
ZIP 571175038
Phone: 605-362-3100
Fax: 605-362-3265

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
01026658 MN PREFERRED ONE 01
32803 MN HEALTH PARTNERS 01
5A05AM MN BLUE CROSS BLUE SHIELD 01
7111782 MN MEDICA CI 01
564214100 MN MEDICAID 05
NH001 MN UCARE 01
7100087 MN MEDICA 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service 2.16.840.1.113883.3.1068.1 OTHER Yes 2720 Dundee Rd # 302, Northbrook, IL, US

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