The Evangelical Lutheran Good Samaritan Society
NPI 1710082904ActiveOrganization· Skilled Nursing Facility· Mandan, ND
Skilled Nursing Facility in Mandan, North Dakota, registered in NPPES in September 2006, part of The Evangelical Lutheran Good Samaritan Society. The authorized official on file is Eric Vanden Hull, Vice President. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1710082904 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Evangelical Lutheran Good Samaritan Society |
| NPI issued | Sep 13, 2006 |
| Last updated in NPPES | Nov 28, 2021 |
| Certified by provider | Nov 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1090 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (ND) |
|---|
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