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GOOD SAMARITAN SOCIETY - CANISTOTA
NPI 1003395799
Nurse Practitioner in Canistota, SD

Active since August 13, 2018CLIA 43D0658855 · Waiver
4/5
Overall Rating
700 W MAIN ST, CANISTOTA, SD 57012(605) 296-3442(605) 296-3306 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Samaritan Society - Canistota NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN SOCIETY - CANISTOTA (NPI 1003395799) is a healthcare organization registered as a nurse practitioner in Canistota, South Dakota and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists George Grant Tribble, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1003395799
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address700 W MAIN STCanistota, SD 57012-2012
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239
Phone(605) 296-3442
Fax(605) 296-3306
Organization SubpartYes
Authorized OfficialGeorge Grant TribbleExecutive Vp · (605) 362-3900
Enumeration DateAugust 13, 2018
✔ NPI 1003395799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
700 W MAIN ST, Canistota, SD 57012
Open in Google Maps ↗

Other Names 1

Doing Business AsGood Samaritan Society - Canistota

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0658855

Good Samaritan Society - Canistota · Canistota, SD
Active · expires Aug 31, 2026
CLIA Number43D0658855
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAmy Evanson
Laboratory Phone(605) 296-3442
Laboratory LocationGood Samaritan Society - Canistota700 West Main St, Canistota, SD 57012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Good Samaritan Society Canistota (CMS certification number 435087), from CMS Care Compare.

Good Samaritan Society Canistota

Nursing home · Canistota, SD
4/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number435087
Certified Beds55 beds51 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1995
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
13.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.48 · LPN 0.12 · RN 0.63
3.23 hrs per resident per day
Weekend Nurse Staffing
2.57 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
69.4%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Assisted Living Facility
700 W MAIN ST
CANISTOTA, SD 57012
McCook County (605) 296-3442
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
700 W MAIN ST
CANISTOTA, SD 57012
McCook County (605) 296-3442
ALYSSA LUX
Physical Therapy Assistant
700 W MAIN ST
CANISTOTA, SD 57012
McCook County (605) 961-6095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Evangelical Lutheran Good Samaritan Society's NPI number?

The NPI number for The Evangelical Lutheran Good Samaritan Society is 1003395799. It was assigned to this organization in the NPPES registry on August 13, 2018. The provider is doing business as Good Samaritan Society - Canistota.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 700 W Main St, Canistota, SD 57012. The listed phone number is (605) 296-3442.

What is The Evangelical Lutheran Good Samaritan Society's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does The Evangelical Lutheran Good Samaritan Society hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0658855) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is The Evangelical Lutheran Good Samaritan Society a Medicare-certified nursing home?

Yes. Good Samaritan Society Canistota is a Medicare-certified nursing home with 55 certified beds.

What quality rating does The Evangelical Lutheran Good Samaritan Society have?

CMS rates Good Samaritan Society Canistota 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.