GOOD SAMARITAN SOCIETY - FARGO
NPI 1962673608
Custodial Care Facility in Fargo, ND

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

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Active since March 21, 2008CLIA 35D1076238 · Waiver

4502 37TH AVE S, FARGO, ND 58104(701) 282-2651(701) 282-3027 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Good Samaritan Society - Fargo NPPES

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

GOOD SAMARITAN SOCIETY - FARGO (NPI 1962673608) is a healthcare organization registered as a custodial care facility in Fargo, North Dakota and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Raye Nae Nylander, Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962673608

Entity TypeOrganization

Primary Taxonomy311Z00000X

Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Location Address4502 37TH AVE SFargo, ND 58104-7599

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

Phone(701) 282-2651

Fax(701) 282-3027

Organization SubpartYes

Authorized OfficialRaye Nae NylanderVice President, Cfo · (605) 362-3100

Enumeration DateMarch 21, 2008

Last NPPES UpdateFebruary 12, 2016

✔ NPI 1962673608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities

Taxonomy Code311Z00000X

Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

4502 37TH AVE S, Fargo, ND 58104

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Other Names 1

Doing Business AsGood Samaritan Society - Fargo

Other Identifiers 1

Medicaid30777ND

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 35D1076238

Good Samaritan - Fargo · Fargo, ND

Active · expires Nov 7, 2027

CLIA Number35D1076238

Laboratory TypeOther

Certificate Effective DateNovember 8, 2025

Certificate Expiration DateNovember 7, 2027

Laboratory DirectorKiara Tuchscherer

Laboratory Phone(701) 282-2651

Laboratory LocationGood Samaritan - Fargo4502 37th Ave S, Fargo, ND 58104

CLIA data matches this NPI record on: Address Phone

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 1962673608. It was assigned to this organization in the NPPES registry on March 21, 2008. The provider is doing business as Good Samaritan Society - Fargo.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 4502 37th Ave S, Fargo, ND 58104. The listed phone number is (701) 282-2651.

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

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does The Evangelical Lutheran Good Samaritan Society hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1076238) is associated with this NPI, valid through November 7, 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 February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.