GOOD SAMARITAN MANOR
NPI 1790952166
Assisted Living Facility in Kissimmee, FL

Active since May 14, 2008
2/5
Overall Rating
1500 SOUTHGATE DR, KISSIMMEE, FL 34746(407) 933-3747(407) 518-2880 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Samaritan Manor NPPES

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

GOOD SAMARITAN MANOR (NPI 1790952166) is a healthcare organization registered as an assisted living facility in Kissimmee, Florida and active in the NPI registry since May 2008. The organization lists Raye Nae Nylander, Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790952166
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address1500 SOUTHGATE DRKissimmee, FL 34746-6593
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239
Fax(407) 518-2880
Organization SubpartYes
Authorized OfficialRaye Nae NylanderVice President, Cfo · (605) 362-3100
Enumeration DateMay 14, 2008
NPI 1790952166 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.
1500 SOUTHGATE DR, Kissimmee, FL 34746

Other Names 1

Doing Business AsGood Samaritan Manor

Other Identifiers 1

Medicaid686927100FL

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for The Good Samaritan Society-Kissimmee Village (CMS certification number 105559), from CMS Care Compare.

The Good Samaritan Society-Kissimmee Village

Nursing home · Kissimmee, FL
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number105559
Certified Beds161 beds113 residents per day on average
Medicare & Medicaid Participant SinceMay 20, 1987
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
157
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.18 · LPN 0.56 · RN 0.91
3.64 hrs per resident per day
Weekend Nurse Staffing
3.44 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
51.6%
Registered Nurse Turnover
73.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
3
Infection-Control Citations
0
Fines
5 totaling $311,493.25
Medicare Payment Denials
0
Total Penalties
5
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

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

Occupational Therapist
1500 SOUTHGATE DR
KISSIMMEE, FL 34746
Physical Therapist
1500 SOUTHGATE DR
KISSIMMEE, FL 34746
Skilled Nursing Facility
1500 SOUTHGATE DR
KISSIMMEE, FL 34746
Skilled Nursing Facility
1500 SOUTHGATE DR
KISSIMMEE, FL 34746

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 1790952166. It was assigned to this organization in the NPPES registry on May 14, 2008. The provider is doing business as Good Samaritan Manor.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 1500 Southgate Dr, Kissimmee, FL 34746. The listed phone number is (407) 933-3747.

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.

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

Yes. The Good Samaritan Society-Kissimmee Village is a Medicare-certified nursing home with 161 certified beds.

What quality rating does The Evangelical Lutheran Good Samaritan Society have?

CMS rates The Good Samaritan Society-Kissimmee Village 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on May 14, 2008. 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.