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WAGNER GOOD SAMARITAN CENTER
NPI 1538200159
Assisted Living Facility in Wagner, SD

Active since February 08, 2007CLIA 43D2328741 · Waiver
515 W HIGHWAY 46, WAGNER, SD 57380(605) 384-3661(605) 384-3790 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wagner Good Samaritan Center NPPES

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

WAGNER GOOD SAMARITAN CENTER (NPI 1538200159) is a healthcare organization registered as an assisted living facility in Wagner, South Dakota and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Raye Nae Nylander, Vice President , Cfo, as its authorized official.

NPPES Registry Identity

NPI1538200159
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address515 W HIGHWAY 46Wagner, SD 57380-9372
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239 · (605) 362-3100
Phone(605) 384-3661
Fax(605) 384-3790
Organization SubpartNo
Authorized OfficialRaye Nae NylanderVice President , Cfo · (605) 362-3100
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1538200159 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.
515 W HIGHWAY 46, Wagner, SD 57380
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Other Names 1

Doing Business AsWagner Good Samaritan Center

Other Identifiers 1

Medicaid9571250SD

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 43D2328741

Wagner Good Samaritan Society · Wagner, SD
Active · expires Aug 14, 2027
CLIA Number43D2328741
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorKammy Ellwanger
Laboratory Phone(605) 384-3661
Laboratory LocationWagner Good Samaritan Society515 Sd - 46, Wagner, SD 57380
CLIA data matches this NPI record on: 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
515 W HIGHWAY 46
WAGNER, SD 57380
Charles Mix County (605) 384-3661
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Nurse Practitioner
515 W HIGHWAY 46
WAGNER, SD 57380
Charles Mix County (605) 384-3661

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 1538200159. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Wagner Good Samaritan Center.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 515 W Highway 46, Wagner, SD 57380. The listed phone number is (605) 384-3661.

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 43D2328741) is associated with this NPI, valid through August 14, 2027. 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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.