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STAFHOLT GOOD SAMARITAN CENTER
NPI 1073737284
Assisted Living Facility in Blaine, WA

Active since April 12, 2007
456 C ST, BLAINE, WA 98230(360) 332-8733(360) 332-8734 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stafholt Good Samaritan Center NPPES

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

STAFHOLT GOOD SAMARITAN CENTER (NPI 1073737284) is a healthcare organization registered as an assisted living facility in Blaine, Washington and active in the NPI registry since April 2007. The organization lists Raye Nae Nylander, Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073737284
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address456 C STBlaine, WA 98230-4238
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239 · (605) 362-3100
Phone(360) 332-8733
Fax(360) 332-8734
Organization SubpartNo
Authorized OfficialRaye Nae NylanderVice President, Cfo · (605) 362-3100
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073737284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
456 C ST, Blaine, WA 98230
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Other Names 1

Doing Business AsStafholt Good Samaritan Center

Other Identifiers 1

Medicaid700356WA

Other Providers at the Same Location NPPES 6

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

SHELLEY CHRISTINE DOMINGUEZ NAC
Nurse's Aide
456 C ST
BLAINE, WA 98230
Whatcom County (951) 332-8836
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
456 C ST
BLAINE, WA 98230
Whatcom County (360) 332-8733
BLAINE OF CASCADIA LLC
Skilled Nursing Facility
456 C ST
BLAINE, WA 98230
Whatcom County (208) 401-9600
MRS. JACQUELINE ELISE BERNHAGEN PTA
Physical Therapy Assistant
456 C ST
BLAINE, WA 98230
Whatcom County (360) 332-8733
MICHAEL GORDON WYLIE PHYSICAL THERAPIST
Physical Therapist
456 C ST
BLAINE, WA 98230
Whatcom County (360) 332-8733
TIFFANY OLLIVER PTA
Physical Therapy Assistant
456 C ST
BLAINE, WA 98230
Whatcom County (360) 332-8733

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 1073737284. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Stafholt Good Samaritan Center.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 456 C St, Blaine, WA 98230. The listed phone number is (360) 332-8733.

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

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.