GOOD SAMARITAN SOCIETY - MANOR ON MAIN
NPI 1699757005
Nursing Facility/Intermediate Care Facility in Noonan, ND

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

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since November 19, 2005

301 MAIN AVE, NOONAN, ND 58765(701) 925-5670(701) 925-5718 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Good Samaritan Society - Manor On Main NPPES

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

GOOD SAMARITAN SOCIETY - MANOR ON MAIN (NPI 1699757005) is a healthcare organization registered as a nursing facility/intermediate care facility in Noonan, North Dakota and active in the NPI registry since November 2005. The organization lists Raye Nae Nylander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1699757005

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Location Address301 MAIN AVENoonan, ND 58765-0069

Mailing AddressPo Box 5038Sioux Falls, SD 57117-5038 · (605) 362-3100 · Fax (605) 362-3265

Phone(701) 925-5670

Fax(701) 925-5718

Organization SubpartYes

Authorized OfficialRaye Nae NylanderCfo · (605) 362-3100

Enumeration DateNovember 19, 2005

Last NPPES UpdateOctober 12, 2007

✔ NPI 1699757005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

301 MAIN AVE, Noonan, ND 58765

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Other Names 1

Doing Business AsGood Samaritan Society - Manor On Main

Other Identifiers 1

Medicaid30711ND

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 1699757005. It was assigned to this organization in the NPPES registry on November 19, 2005. The provider is doing business as Good Samaritan Society - Manor On Main.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 301 Main Ave, Noonan, ND 58765. The listed phone number is (701) 925-5670.

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

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.