The Evangelical Lutheran Good Samaritan Society
Skilled Nursing Facility
1030 Scott Dr, Prescott
Arizona, 86301-1793
928-778-2450 928-778-5251
The Evangelical Lutheran Good Samaritan Society is an authorized DME supplier for medicare equipment and products.The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Prescott, Arizona. This organization is also known as sub part of The Evangelical Lutheran Good Samaritan Society. It is located at 1030 Scott Dr, Prescott and it's customer support contact number is 928-778-2450. The authorized person of The Evangelical Lutheran Good Samaritan Society is Ms. Raye Nae Nylander who is Cfo of this DME and her contact number is 605-362-3100. The Evangelical Lutheran Good Samaritan Society accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
The Evangelical Lutheran Good Samaritan Society is (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.
DME Supplier Details:
The Evangelical Lutheran Good Samaritan Society type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | The Evangelical Lutheran Good Samaritan Society |
| Type: | Skilled Nursing Facility |
| Location: | 1030 Scott Dr, Prescott, Arizona, 86301-1793 |
| Phone: | 928-778-2450 |
| Fax: | 928-778-5251 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Raye Nae Nylander |
| Position: | Cfo |
| Contact Number: | 605-362-3100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1851381578 |
| Parent Organization: | The Evangelical Lutheran Good Samaritan Society |
| NPI Enumeration Date: | 25 Oct, 2005 |
| NPI Last Update On: | 25 Oct, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Evangelical Lutheran Good Samaritan Society are as mentioned below.
| Specialization | License Number | State | Status | |
| Skilled Nursing Facility | | | Primary | |
| Nursing Facility Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 041187 | Medicaid | Arizona | |
Medicare Enrollment:
The Evangelical Lutheran Good Samaritan Society is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5038, Sioux Falls, South Dakota |
| Zip: | 57117-5038 |
| Phone Number: | 605-362-3100 |
| Fax Number: | 605-362-3265 |
Patients can reach The Evangelical Lutheran Good Samaritan Society at
1030 Scott Dr, Prescott, Arizona or can
call on customer care at 928-778-2450.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.