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GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE
NPI 1326238874
Hospice Care, Community Based in Prescott, AZ

Active since July 31, 2007CLIA 03D1071846 · Waiver
1065 RUTH ST, SUITE 108-109, PRESCOTT, AZ 86301(928) 778-5655(928) 445-2497 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 20, 2021, Aug 16, 2018 (2 updates tracked since 2018).

About Good Samaritan Society-prescott Hospice NPPES

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

GOOD SAMARITAN SOCIETY-PRESCOTT HOSPICE (NPI 1326238874) is a healthcare organization registered as a hospice care, community based in Prescott, Arizona and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists George Grant Tribble, Exeutive Vp, as its authorized official.

NPPES Registry Identity

NPI1326238874
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address1065 RUTH ST, SUITE 108-109Prescott, AZ 86301
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239
Phone(928) 778-5655
Fax(928) 445-2497
Organization SubpartNo
Authorized OfficialGeorge Grant TribbleExeutive Vp · (605) 362-3900
Enumeration DateJuly 31, 2007
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1326238874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1065 RUTH ST, Prescott, AZ 86301
Open in Google Maps ↗

Other Names 1

Doing Business AsGood Samaritan Society-prescott Hospice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 03D1071846

Good Samaritan Society,the Prescott Hospice · Prescott, AZ
Active · expires Aug 1, 2027
CLIA Number03D1071846
Laboratory TypeHospice
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorRachel Ann Coon
Laboratory Phone(928) 443-5400
Laboratory LocationGood Samaritan Society,the Prescott Hospice1065 Ruth St Ste B, Prescott, AZ 86301
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Good Samaritan Society Prescott Hospice (CMS certification number 031584), from CMS Care Compare.

Good Samaritan Society Prescott Hospice

Hospice · Prescott, AZ
OwnershipNon-Profit
CMS Certification Number031584
CMS RegionRegion 9
Medicare-Certified SinceJuly 15, 2009
Average Daily Census37patients per day on average
Location1065 Ruth Street, Suite 108-109Prescott, AZ 86301 · Yavapai County
Phone(928) 778-5655
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home61%
Assisted living facility17%
Skilled nursing facility13%
Inpatient hospice facility5%
Patients with cancer
23%
Patients with dementia
6%
Patients with circulatory or heart disease
12%
Patients with respiratory disease
11%
Patients with stroke
10%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
79 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
79 patient stays
100%
Hospice and Palliative Care Pain Screening
79 patient stays
100%
Hospice and Palliative Care Pain Assessment
47 patient stays
97.9%
Hospice and Palliative Care Dyspnea Screening
79 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
27 patient stays
92.6%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
23 patient stays
100%
Hospice and Palliative Care Composite Process Measure
79 patient stays
96.2%
Hospice Visits in the Last Days of Life
116 patient stays
62.9%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
9/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 98
4.2%
Gaps in nursing visits
National percentile 44
50.5%
Early live discharges
National percentile 95
17.5%
Late live discharges
National percentile 19
27.5%
Burdensome transitions, Type 1
National percentile 19
0%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 21
$11,633
Nurse care minutes per routine home care days
National percentile 45
11.8 minutes
Skilled nursing minutes on weekends
National percentile 75
10.8%
Visits near death
National percentile 89
98.2%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES

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

MS. LAURIE LEIGH LACKLAND ANP
Nurse Practitioner (Adult Health)
1065 RUTH ST
PRESCOTT, AZ 86301
Yavapai County (928) 778-5655

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 1326238874. It was assigned to this organization in the NPPES registry on July 31, 2007. The provider is doing business as Good Samaritan Society-Prescott Hospice.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 1065 Ruth St Suite 108-109, Prescott, AZ 86301. The listed phone number is (928) 778-5655.

What is The Evangelical Lutheran Good Samaritan Society's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does The Evangelical Lutheran Good Samaritan Society hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1071846) is associated with this NPI, valid through August 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is The Evangelical Lutheran Good Samaritan Society a Medicare-certified hospice?

Yes. Good Samaritan Society Prescott Hospice is a Medicare-certified hospice (CMS certification number 031584), certified since July 15, 2009.

What insurance does The Evangelical Lutheran Good Samaritan Society accept?

Health plans from Blue Cross Blue Shield of Arizona list The Evangelical Lutheran Good Samaritan Society as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.