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


Overall Rating: 4 out of 5 stars

NPI Status: Active since August 13, 2018

Contact Information

700 W MAIN ST
CANISTOTA, SD
ZIP 57012
Phone: (605) 296-3442
Fax: (605) 296-3306

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 43D0658855
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About GOOD SAMARITAN SOCIETY - CANISTOTA

This page provides the complete NPI Profile along with additional information for Good Samaritan Society - Canistota, a provider established in Canistota, South Dakota operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1003395799 assigned on August 2018. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Good Samaritan Society - Canistota operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Good Samaritan Society - Canistota. The authorized official of this NPI record is George Grant Tribble (Executive Vp)

NPI
1003395799
Provider Legal Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name
GOOD SAMARITAN SOCIETY - CANISTOTA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
700 W MAIN ST CANISTOTA, SD 57012
Location Phone
(605) 296-3442
Location Fax
(605) 296-3306
Mailing Address
4800 W 57TH ST SIOUX FALLS, SD 57108
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-13-2018
Last Update Date
08-13-2018
Code Navigator

A nurse practitioner (NP) like Good Samaritan Society - Canistota is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

According to the Nursing Home Compare program data, Good Samaritan Society - Canistota has an above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 4 out of 5 stars provide a snapshot of this nursing home quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEORGE GRANT TRIBBLE

Authorized Official Title
EXECUTIVE VP
Authorized Official Phone
(605) 362-3900

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality RatingNot Available
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 2 out of 5 stars - Below Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 2 out of 5 stars - Below Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures RatingNot Available
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
*Not enough data available to calculate a star rating.
Staffing Rating - 3 out of 5 stars - Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.48 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.63 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover28.6%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Administrator Turnover1
Number of administrators who left the nursing home within a given year.
Ownership TypeNon profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds55 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day51 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints0 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D0658855
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
AMY EVANSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Samaritan Society - Canistota to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003395799, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 9 + 1 + 0 + 7 + 1 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1003395799.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Assisted Living Facility
700 W MAIN ST
CANISTOTA, SD 57012
Physical Therapy Assistant
700 W MAIN ST
CANISTOTA, SD 57012
Skilled Nursing Facility
700 W MAIN ST
CANISTOTA, SD 57012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003395799, enumerated as an "organization" on August 13, 2018.

The provider is located at 700 W MAIN ST CANISTOTA, SD 57012 and the phone number is (605) 296-3442.

Nurse Practitioner with taxonomy code 363L00000X.