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GOOD SAMARITAN SOCIETY - LUTHER MANOR
NPI 1184008047
Nurse Practitioner in Sioux Falls, SD

Active since July 10, 2015CLIA 43D0666131 · Waiver
3/5
Overall Rating
1500 W 38TH ST, SIOUX FALLS, SD 57105(605) 336-1997(605) 336-8703 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Samaritan Society - Luther Manor NPPES

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

GOOD SAMARITAN SOCIETY - LUTHER MANOR (NPI 1184008047) is a healthcare organization registered as a nurse practitioner in Sioux Falls, South Dakota and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Grant Tribble, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1184008047
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address1500 W 38TH STSioux Falls, SD 57105-5563
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239 · (605) 362-3100
Phone(605) 336-1997
Fax(605) 336-8703
Organization SubpartYes
Authorized OfficialGrant TribbleExecutive Vp · (605) 362-3100
Enumeration DateJuly 10, 2015
✔ NPI 1184008047 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.
1500 W 38TH ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Names 1

Doing Business AsGood Samaritan Society - Luther Manor

Other Identifiers 1

OtherS109080Medicare Part B

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 43D0666131

Good Samaritan Society - Luther Manor · Sioux Falls, SD
Active · expires Aug 31, 2026
CLIA Number43D0666131
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas Fraser
Laboratory Phone(605) 336-1997
Laboratory LocationGood Samaritan Society - Luther Manor1500 W 38th St, Sioux Falls, SD 57105
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 Luther Manor (CMS certification number 435044), from CMS Care Compare.

Good Samaritan Society Luther Manor

Nursing home · Sioux Falls, SD
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number435044
Certified Beds92 beds81 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1990
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
17.33
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 2.53 · LPN 0.36 · RN 0.84
3.74 hrs per resident per day
Weekend Nurse Staffing
3.11 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
46.7%
Registered Nurse Turnover
36.4%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
1 totaling $9,750.00
Medicare Payment Denials
0
Total Penalties
1
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 4

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

TESLA CHEEK
Physical Therapist
1500 W 38TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 789-8445
MARY B CALMUS O.T.
Occupational Therapist
1500 W 38TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-1997
DR. LYNN MARIE BOETTCHER FJELLANGER ED.D, P.T.
Physical Therapist
1500 W 38TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-1997
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
1500 W 38TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-1997

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 1184008047. It was assigned to this organization in the NPPES registry on July 10, 2015. The provider is doing business as Good Samaritan Society - Luther Manor.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 1500 W 38th St, Sioux Falls, SD 57105. The listed phone number is (605) 336-1997.

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 43D0666131) 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 Luther Manor is a Medicare-certified nursing home with 92 certified beds.

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

CMS rates Good Samaritan Society Luther Manor 3 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 July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.