GOOD SAMARITAN SOCIETY - PRAIRIE CREEK ASSISTED LIVING
NPI 1629405451
Assisted Living Facility in Sioux Falls, SD

Q: 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.

Active since October 11, 2013CLIA 43D2026303 · Waiver

4312 W CREEKSIDE CIR, SIOUX FALLS, SD 57106(605) 331-5507(605) 274-7888 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Good Samaritan Society - Prairie Creek Assisted Living NPPES

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

GOOD SAMARITAN SOCIETY - PRAIRIE CREEK ASSISTED LIVING (NPI 1629405451) is a healthcare organization registered as an assisted living facility in Sioux Falls, South Dakota and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Raye Nae Nylander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629405451

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Location Address4312 W CREEKSIDE CIRSioux Falls, SD 57106-5279

Mailing Address4800 W 57th StSioux Falls, SD 57108-2239

Phone(605) 331-5507

Fax(605) 274-7888

Organization SubpartYes

Authorized OfficialRaye Nae NylanderCfo · (605) 362-3100

Enumeration DateOctober 11, 2013

✔ NPI 1629405451 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.

4312 W CREEKSIDE CIR, Sioux Falls, SD 57106

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Other Names 1

Doing Business AsGood Samaritan Society - Prairie Creek Assisted Living

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 43D2026303

Good Samaritan Society - Prairie Creek Assisted Li · Sioux Falls, SD

Active · expires Jun 27, 2027

CLIA Number43D2026303

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 28, 2025

Certificate Expiration DateJune 27, 2027

Laboratory DirectorKelsey Nicola

Laboratory Phone(605) 274-7886

Laboratory LocationGood Samaritan Society - Prairie Creek Assisted Li4312 W Creekside Circle, Sioux Falls, SD 57106

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 1629405451. It was assigned to this organization in the NPPES registry on October 11, 2013. The provider is doing business as Good Samaritan Society - Prairie Creek Assisted Living.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 4312 W Creekside Cir, Sioux Falls, SD 57106. The listed phone number is (605) 331-5507.

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 43D2026303) is associated with this NPI, valid through June 27, 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 October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.