GOOD SAMARITAN SOCIETY - FENNIMORE – NPI #1619958493
Skilled Nursing Facility

(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.

GOOD SAMARITAN SOCIETY - FENNIMORE is a skilled nursing facility (SNF) located in FENNIMORE, WI. NPPES has assigned the NPI number 1619958493 to GOOD SAMARITAN SOCIETY - FENNIMORE on November 09, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOOD SAMARITAN SOCIETY - FENNIMORE” is a dba name, the actual legal business name for this organization is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 13 years ago on Jan 17, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOOD SAMARITAN SOCIETY - FENNIMORE below.

NPI Profile for
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NPI Number
1619958493
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Doing Business As (dba): GOOD SAMARITAN SOCIETY - FENNIMORE
Primary location
1850 11TH ST
FENNIMORE, WI 53809-1612
Phone: (608) 822-6100 Fax: (608) 822-3011
Mailing address
PO BOX 5038
SIOUX FALLS, SD 57117-5038
Phone: (605) 362-3100 Fax: (605) 362-3265
Organization Subpart
Yes - GOOD SAMARITAN SOCIETY - FENNIMORE is subpart of another organization.
Authorized Official
RAYE NAE NYLANDER
CFO
Phone: (605) 362-3100
Updated
Identifiers

Identifiers for GOOD SAMARITAN SOCIETY - FENNIMORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEAN HEALTH PLANWI542174
MEDICAIDWI20150500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.