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GOOD SAMARITAN SOCIETY BATTLE LAKE
NPI 1114125333
Assisted Living Facility in Battle Lake, MN

Active since July 10, 2007CLIA 24D2047328 · Waiver
605 LAKE AVE NORTH, BATTLE LAKE, MN 56515(218) 862-5230(218) 862-5240 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Samaritan Society Battle Lake NPPES

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

GOOD SAMARITAN SOCIETY BATTLE LAKE (NPI 1114125333) is a healthcare organization registered as an assisted living facility in Battle Lake, Minnesota and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Raye Nae Nylander, Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114125333
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address605 LAKE AVE NORTHBattle Lake, MN 56515
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239
Phone(218) 862-5230
Fax(218) 862-5240
Organization SubpartNo
Authorized OfficialRaye Nae NylanderVice President, Cfo · (605) 362-3100
Enumeration DateJuly 10, 2007
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1114125333 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.
605 LAKE AVE NORTH, Battle Lake, MN 56515
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Other Names 1

Doing Business AsGood Samaritan Society Battle Lake

Other Identifiers 1

Medicaid938445000MN · Assisted Living

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 24D2047328

Good Samaritan Society - Battle Lake · Battle Lake, MN
Active · expires Sep 20, 2026
CLIA Number24D2047328
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorAngela Olson
Laboratory Phone(218) 862-5230
Laboratory LocationGood Samaritan Society - Battle Lake605 Lake Avenue North, Battle Lake, MN 56515
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1114125333. It was assigned to this organization in the NPPES registry on July 10, 2007. The provider is doing business as Good Samaritan Society Battle Lake.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 605 Lake Ave North, Battle Lake, MN 56515. The listed phone number is (218) 862-5230.

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.

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

Yes. A Certificate of Waiver (number 24D2047328) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.