GOOD SAMARITAN SOCIETY - FAIRLAWN VILLAGE
NPI 1801878293
Skilled Nursing Facility in Gresham, OR

Active since November 19, 2005
3457 NE DIVISION ST, GRESHAM, OR 97030(503) 667-1965(503) 667-1932 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Samaritan Society - Fairlawn Village NPPES

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

GOOD SAMARITAN SOCIETY - FAIRLAWN VILLAGE (NPI 1801878293) is a healthcare organization registered as a skilled nursing facility in Gresham, Oregon and active in the NPI registry since November 2005. The organization lists Raye Nae Nylander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1801878293
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address3457 NE DIVISION STGresham, OR 97030-4602
Mailing AddressPo Box 5038Sioux Falls, SD 57117-5038 · (605) 362-3100 · Fax (605) 362-3265
Fax(503) 667-1932
Organization SubpartYes
Authorized OfficialRaye Nae NylanderCfo · (605) 362-3100
Enumeration DateNovember 19, 2005
Last NPPES UpdateNovember 28, 2021
NPPES CertifiedNovember 28, 2021
NPI 1801878293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3457 NE DIVISION ST, Gresham, OR 97030

Other Names 1

Doing Business AsGood Samaritan Society - Fairlawn Village

Other Identifiers 2

Medicaid800131OR
Medicaid506383OR

Other Providers at the Same Location NPPES 8

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

Physical Therapy Assistant
3457 NE DIVISION ST
GRESHAM, OR 97030
Physical Therapist
3457 NE DIVISION ST
GRESHAM, OR 97030
Assisted Living Facility
3457 NE DIVISION ST
GRESHAM, OR 97030
Occupational Therapist
3457 NE DIVISION ST
GRESHAM, OR 97030
Occupational Therapist
3457 NE DIVISION ST
GRESHAM, OR 97030
Skilled Nursing Facility
3457 NE DIVISION ST
GRESHAM, OR 97030
Occupational Therapist
3457 NE DIVISION ST
GRESHAM, OR 97030
Speech-Language Pathologist
3457 NE DIVISION ST
GRESHAM, OR 97030

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 1801878293. It was assigned to this organization in the NPPES registry on November 19, 2005. The provider is doing business as Good Samaritan Society - Fairlawn Village.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 3457 NE Division St, Gresham, OR 97030. The listed phone number is (503) 667-1965.

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

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on November 28, 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.