THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI 1215918610
Skilled Nursing Facility in Prescott Valley,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 11, 2005

Contact Information

3380 N Windsong Dr
Prescott Valley,
Post Code: 86314
Phone: (928) 775-0045
Fax: (928) 775-2777

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The Evangelical Lutheran Good Samaritan Society in Prescott Valley - Skilled Nursing Facility

The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Prescott Valley, . The Evangelical Lutheran Good Samaritan Society practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1215918610. The last update date is 2024-12-06.

The Evangelical Lutheran Good Samaritan Society's current location address is 3380 N Windsong Dr, Prescott Valley, . You can contact this provider via phone number (928) 775-0045 and fax number (928) 775-2777. The mailing address for The Evangelical Lutheran Good Samaritan Society is 3380 N Windsong Dr, Prescott Valley, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1215918610
Provider Legal Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Name Type
-
Entity Type
Organization
Location Address
3380 N Windsong Dr, Prescott Valley,
Location Phone
(928) 775-0045
Location Fax
(928) 775-2777
Mailing Address
Po Box 5038, Sioux Falls, South Dakota(SD)
Mailing Phone
605-362-3100
Mailing Fax
605-362-3265
Enumeration Date
2005-11-11
Last Update Date
2024-12-06
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 332BN1400X Nursing Facility Supplies (DME)

Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies

()
2 332BP3500X Parenteral & Enteral Nutrition Supplies (DME)

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
399817 MEDICAID (05) Arizona (AZ)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215918610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251811662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22251811662
2 + 2 + 2 + 5 + 1 + 8 + 1 + 1 + 6 + 6 + 2 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1215918610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164425104 ANGELA L JANSSEN
Individual
Physical Therapist PO BOX 32490
PHOENIX, Arizona (AZ)
602-230-4478
1154324150 MARISA LYNN ROWEN
Individual
Pharmacist 839 W CONGRESS ST
TUCSON, Arizona (AZ)
520-670-3805
1154324283 DREXEL HEIGHTS FIRE DISTRICT
Organization
Ambulance, Land Transport 5030 S CAMINO VERDE
TUCSON, Arizona (AZ)
520-883-4341
1023011269 BENIGNO F DECENA
Individual
Internal Medicine, Cardiovascular Disease 4729 E CAMP LOWELL DR
TUCSON, Arizona (AZ)
520-838-3540
1013910157 COLEMAN WADE DAVIDSON
Individual
Obstetrics & Gynecology PO BOX 31235
TUCSON, Arizona (AZ)
520-324-4100