GOOD SAMARITAN SOCIETY - AMBASSADOR
NPI 1114908878
Skilled Nursing Facility in New Hope, MN

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

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

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

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

Active since November 09, 2005CLIA 24D0864312 · Waiver

3/5

Patient Care Rating

8100 MEDICINE LAKE RD, NEW HOPE, MN 55427(763) 544-4171(763) 544-5526 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Good Samaritan Society - Ambassador NPPES

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

GOOD SAMARITAN SOCIETY - AMBASSADOR (NPI 1114908878) is a healthcare organization registered as a skilled nursing facility in New Hope, Minnesota and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Raye Nae Nylander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114908878

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Location Address8100 MEDICINE LAKE RDNew Hope, MN 55427-3404

Mailing AddressPo Box 5038Sioux Falls, SD 57117-5038 · (605) 362-3100 · Fax (605) 362-3265

Phone(763) 544-4171

Fax(763) 544-5526

Organization SubpartYes

Authorized OfficialRaye Nae NylanderCfo · (605) 362-3100

Enumeration DateNovember 9, 2005

Last NPPES UpdateOctober 25, 2021

NPPES CertifiedOctober 25, 2021

✔ NPI 1114908878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(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.

Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X

8100 MEDICINE LAKE RD, New Hope, MN 55427

Open in Google Maps ↗

Other Names 1

Doing Business AsGood Samaritan Society - Ambassador

Other Identifiers 7

Other5A05AMMN · Blue Cross Blue Shield

Other7111782MN · Medica Ci

Medicaid564214100MN

Other01026658MN · Preferred One

Other32803MN · Health Partners

Other7100087MN · Medica

OtherNH001MN · Ucare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

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 24D0864312

Good Samaritan Ambassador · New Hope, MN

Active · expires Aug 31, 2026

CLIA Number24D0864312

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorKim Stoltzman

Laboratory Phone(763) 417-7130

Laboratory LocationGood Samaritan Ambassador8100 Medicine Lake Road, New Hope, MN 55427

CLIA data matches this NPI record on: Address

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 Ambassador (CMS certification number 245149), from CMS Care Compare.

Good Samaritan Ambassador

Nursing home · New Hope, MN

5/5 CMS Overall Rating

OwnershipNon profit - Corporation

CMS Certification Number245149

Certified Beds77 beds74 residents per day on average

Medicare & Medicaid Participant SinceFebruary 26, 1968

Resident & Family CouncilResident and family councils

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

4/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

5/5

Staffing

Based on nursing staff hours relative to resident needs.

5/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

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 2.33 · LPN 0.38 · RN 1.88

4.59 hrs per resident per day

Weekend Nurse Staffing

3.93 hrs per resident per day

Physical Therapist Staffing

0.12 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

45.3%

Registered Nurse Turnover

26.5%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $9,750.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Good Samaritan Society Home Care (CMS certification number 248086), from CMS Care Compare.

Good Samaritan Society Home Care

Home health agency · Robbinsdale, MN

3.5/5 Quality of Patient Care

OwnershipNonProfit

CMS Certification Number248086

Medicare-Certified SinceMay 18, 2005

Phone(763) 546-9020

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner

97.7%

Patients who got better at walking or moving around

87.7%

Patients who got better at getting in and out of bed

87.7%

Patients who got better at bathing

91.4%

Patients whose breathing improved

87.2%

Patients who got better at taking their drugs correctly by mouth

85.5%

Patients checked for a flu shot for the current season

86.6%

Physician-recommended actions on medication issues completed on time

96.7%

Patients with a functional assessment and care plan at admission and discharge

98%

Patients experiencing one or more falls with major injury

Lower rates are better for this measure.

1.3%

New or worsened pressure ulcers or injuries (skin integrity)

Lower rates are better for this measure.

Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

196 of 279 patient episodes · observed rate 70.25%

78.25% Same As National Rate

Potentially preventable hospital readmissions after discharge

231 patient stays · observed rate 6.93%

Lower rates are better for this measure.

4.61% Same As National Rate

Medicare spending per episode of care, relative to the national average

1.00 = national average per episode of care · based on 496 episodes

0.95

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Leave this field empty

Other Providers at the Same Location NPPES 10

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

ELIZABETH ANN COOK

Occupational Therapy Assistant