GOOD SAMARITAN SOCIETY - PEORIA GOOD SHEPHERD
NPI 1205826922
Skilled Nursing Facility in Peoria, AZ

Active since October 25, 2005
10323 W OLIVE AVE, PEORIA, AZ 85345(623) 875-0100(623) 875-0110 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Samaritan Society - Peoria Good Shepherd NPPES

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

GOOD SAMARITAN SOCIETY - PEORIA GOOD SHEPHERD (NPI 1205826922) is a healthcare organization registered as a skilled nursing facility in Peoria, Arizona and active in the NPI registry since October 2005. The organization lists Raye Nae Nylander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205826922
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address10323 W OLIVE AVEPeoria, AZ 85345-7345
Mailing AddressPo Box 5038Sioux Falls, SD 57117-5038 · (605) 362-3100 · Fax (605) 362-3265
Fax(623) 875-0110
Organization SubpartYes
Authorized OfficialRaye Nae NylanderCfo · (605) 362-3100
Enumeration DateOctober 25, 2005
Last NPPES UpdateDecember 27, 2012
NPI 1205826922 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.
10323 W OLIVE AVE, Peoria, AZ 85345

Other Names 1

Doing Business AsGood Samaritan Society - Peoria Good Shepherd

Other Identifiers 4

Other7100002AZ · Evercare M/c
Medicare OSCAR/certification035183SD
Medicare NSC0140910103AZ
Medicaid04044401AZ

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.

Nurse Practitioner (Psychiatric/Mental Health)
10323 W OLIVE AVE
PEORIA, AZ 85345
Skilled Nursing Facility
10323 W OLIVE AVE
PEORIA, AZ 85345
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
10323 W OLIVE AVE
PEORIA, AZ 85345
Physical Therapist
10323 W OLIVE AVE
PEORIA, AZ 85345

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 1205826922. It was assigned to this organization in the NPPES registry on October 25, 2005. The provider is doing business as Good Samaritan Society - Peoria Good Shepherd.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 10323 W Olive Ave, Peoria, AZ 85345. The listed phone number is (623) 875-0100.

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.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.