Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI 1235110081
Skilled Nursing Facility in Waconia, MN

Active since November 09, 2005CLIA Certified · 2 labs
333 W 5TH ST, WACONIA, MN 55387(952) 442-5111(952) 442-6170 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2026, Nov 26, 2021 (2 updates tracked since 2021).

About The Evangelical Lutheran Good Samaritan Society NPPES

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

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI 1235110081), doing business as Good Samaritan Society - Waconia, is a healthcare organization registered as a skilled nursing facility in Waconia, Minnesota and active in the NPI registry since November 2005. The organization holds 2 active CLIA laboratory certificates and lists Tony Lee Morrison, Vp Chief Revenue Cycle Officer, as its authorized official.

NPPES Registry Identity

NPI1235110081
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address333 W 5TH STWaconia, MN 55387-1720
Mailing AddressPo Box 5038Sioux Falls, SD 57117-5038 · (605) 362-3100 · Fax (605) 362-3265
Fax(952) 442-6170
Organization SubpartYes
Authorized OfficialTony Lee MorrisonVp Chief Revenue Cycle Officer · (605) 328-8380
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1235110081 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.

333 W 5TH ST, Waconia, MN 55387

Other Names 1

Doing Business AsGood Samaritan Society - Waconia

Other Identifiers 4

OtherNH0122MN · Ucare
Medicaid359057700MN
Other5A27WAMN · Blue Cross Blue Shield
Other7122497MN · Medica Choice

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 24D0688130

Good Samaritan Society Waconia · Waconia, MN
Active · expires Aug 31, 2026
CLIA Number24D0688130
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEmily Henderson
Laboratory Phone(952) 442-5111
Laboratory LocationGood Samaritan Society Waconia333 West 5th Street, Waconia, MN 55387
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2072530

Good Samaritan Society - Waconia · Waconia, MN
Active · expires Feb 2, 2028
CLIA Number24D2072530
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorConnie Schmidt
Laboratory Phone(952) 442-9027
Laboratory LocationGood Samaritan Society - Waconia433 West 5th Street, Waconia, MN 55387
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Physical Therapy Assistant
333 W 5TH ST
WACONIA, MN 55387
Occupational Therapy Assistant
333 W 5TH ST
WACONIA, MN 55387
Occupational Therapist
333 W 5TH ST
WACONIA, MN 55387

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235110081, enumerated as an "organization" on November 09, 2005.

The provider is located at 333 W 5TH ST WACONIA, MN 55387 and the phone number is (952) 442-5111.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.