GOOD SAMARITAN PONTIAC
NPI 1881679579
Skilled Nursing Facility in Pontiac, IL

Active since December 14, 2005
1225 S EWING DR, PONTIAC, IL 61764(815) 844-5121(815) 419-6000 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2020, Jun 13, 2016 (2 updates tracked since 2016).

About Good Samaritan Pontiac NPPES

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

GOOD SAMARITAN PONTIAC (NPI 1881679579) is a healthcare organization registered as a skilled nursing facility in Pontiac, Illinois and active in the NPI registry since December 2005. The organization lists Kim Wittenberg, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881679579
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOOD SAMARITAN PONTIAC
Location Address1225 S EWING DRPontiac, IL 61764-9701
Mailing Address1225 S Ewing DrPontiac, IL 61764-9701 · (815) 844-5121 · Fax (815) 419-6000
Fax(815) 419-6000
Organization SubpartNo
Authorized OfficialKim WittenbergAdministrator · (815) 844-5121
Enumeration DateDecember 14, 2005
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
NPI 1881679579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 1630299
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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 1630299 (IL)
1225 S EWING DR, Pontiac, IL 61764

Other Identifiers 1

Medicaid0010942IL

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.

Durable Medical Equipment & Medical Supplies
1225 S EWING DR
PONTIAC, IL 61764
Skilled Nursing Facility
1225 S EWING DR
PONTIAC, IL 61764

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 Good Samaritan Pontiac's NPI number?

The NPI number for Good Samaritan Pontiac is 1881679579. It was assigned to this organization in the NPPES registry on December 14, 2005.

Where is Good Samaritan Pontiac located?

Good Samaritan Pontiac is located at 1225 S Ewing Dr, Pontiac, IL 61764. The listed phone number is (815) 844-5121.

What is Good Samaritan Pontiac'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 Good Samaritan Pontiac was last updated on August 12, 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.