CAPESIDE COVE GOOD SAMARITAN CENTER
NPI 1235110016
Skilled Nursing Facility in Siren, WI

Active since November 09, 2005
23926 4TH AVE S, SIREN, WI 54872(715) 349-2292(715) 349-7218 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Capeside Cove Good Samaritan Center NPPES

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

CAPESIDE COVE GOOD SAMARITAN CENTER (NPI 1235110016) is a healthcare organization registered as a skilled nursing facility in Siren, Wisconsin and active in the NPI registry since November 2005. The organization lists Raye Nae Nylander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235110016
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address23926 4TH AVE SSiren, WI 54872-8334
Mailing AddressPo Box 5038Sioux Falls, SD 57117-5038 · (605) 362-3100 · Fax (605) 362-3265
Fax(715) 349-7218
Organization SubpartYes
Authorized OfficialRaye Nae NylanderCfo · (605) 362-3100
Enumeration DateNovember 9, 2005
Last NPPES UpdateNovember 9, 2007
NPI 1235110016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
23926 4TH AVE S, Siren, WI 54872

Other Names 1

Doing Business AsCapeside Cove Good Samaritan Center

Other Identifiers 7

Other7122742WI · Medica
Other9840CAWI · Blue Cross Blue Shield
Medicare OSCAR/certification525478WI
Other1026758WI · Preferred One - Inpatient
Medicaid20158900WI
Medicare NSC0140910116WI
Other1014259WI · Preferred One - Therapy

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 1235110016. It was assigned to this organization in the NPPES registry on November 9, 2005. The provider is doing business as Capeside Cove Good Samaritan Center.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 23926 4th Ave S, Siren, WI 54872. The listed phone number is (715) 349-2292.

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 November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.