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GOOD SAMARITAN SOCIETY- MILLER ALC
NPI 1457491094
Assisted Living Facility in Miller, SD

Active since February 06, 2007CLIA 43D0970114 · Waiver
421 E 4TH ST, MILLER, SD 57362(605) 853-2701(605) 853-3370 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 30, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Good Samaritan Society- Miller Alc NPPES

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

GOOD SAMARITAN SOCIETY- MILLER ALC (NPI 1457491094) is a healthcare organization registered as an assisted living facility in Miller, South Dakota and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Raye Nae Nylander, Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457491094
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address421 E 4TH STMiller, SD 57362-1539
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239 · (605) 362-3100
Phone(605) 853-2701
Fax(605) 853-3370
Organization SubpartNo
Authorized OfficialRaye Nae NylanderVice President, Cfo · (605) 362-3100
Enumeration DateFebruary 6, 2007
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1457491094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
421 E 4TH ST, Miller, SD 57362
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Other Names 1

Doing Business AsGood Samaritan Society- Miller Alc

Other Identifiers 1

Medicaid1720069495SD

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 43D0970114

Good Samaritan Society - Miller · Miller, SD
Active · expires Feb 3, 2028
CLIA Number43D0970114
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorPetar Mirkovic
Laboratory Phone(605) 853-2701
Laboratory LocationGood Samaritan Society - Miller421 East 4th Street, Miller, SD 57362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
421 E 4TH ST
MILLER, SD 57362
Hand County (605) 853-2701
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Nurse Practitioner
421 E 4TH ST
MILLER, SD 57362
Hand County (605) 853-2701

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 1457491094. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Good Samaritan Society- Miller Alc.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 421 E 4th St, Miller, SD 57362. The listed phone number is (605) 853-2701.

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

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

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

Yes. A Certificate of Waiver (number 43D0970114) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on September 30, 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.