GOOD SAMARITAN NURSING CENTER INC
NPI 1205880663
Skilled Nursing Facility in Baltimore, MD

NPI Status: Active since May 20, 2006

Contact Information

1601 E BELVEDERE AVE
BALTIMORE, MD
ZIP 21239
Phone: (410) 532-5600
Fax: (410) 532-8141

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 21D0219647
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About GOOD SAMARITAN NURSING CENTER INC

This page provides the complete NPI Profile along with additional information for Good Samaritan Nursing Center Inc, a provider established in Baltimore, Maryland operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1205880663 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 30051 (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Deana L Stout (Vp Finance)

NPI
1205880663
Provider Name
GOOD SAMARITAN NURSING CENTER INC
Entity Type
Organization
Location Address
1601 E BELVEDERE AVE BALTIMORE, MD 21239
Location Phone
(410) 532-5600
Location Fax
(410) 532-8141
Mailing Address
1601 E BELVEDERE AVE BALTIMORE, MD 21239
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
10-09-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
30051
License State
MD
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEANA L STOUT

Authorized Official Title
VP FINANCE
Authorized Official Phone
(443) 444-3841

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
302437700MEDICAID (05)MD 
215241MEDICARE OSCAR/CERTIFICATION (06)MD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0219647
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. TERINA S. CHEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Good Samaritan Nursing Center Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205880663, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 8 + 0 + 6 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205880663.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Skilled Nursing Facility
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Skilled Nursing Facility
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Physical Therapist
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Occupational Therapist
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Occupational Therapy Assistant
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Physical Therapy Assistant
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Speech-Language Pathologist
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Internal Medicine (Nephrology)
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Physical Therapist
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Physical Medicine & Rehabilitation
1601 E BELVEDERE AVE
BALTIMORE, MD 21239
Nurse's Aide
1601 E BELVEDERE AVE
BALTIMORE, MD 21239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205880663, enumerated as an "organization" on May 20, 2006.

The provider is located at 1601 E BELVEDERE AVE BALTIMORE, MD 21239 and the phone number is (410) 532-5600.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.