Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Skilled Nursing Facility · Sister Bay, WI

NPI number 1528049301 Active

Practice location

10560 Applewood Dr
Sister Bay, WI 54234-9005

Fax (920) 854-9529

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed
Nursing Facility Supplies (DME) 332BN1400XNone listed
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500XNone listed

Skilled Nursing Facility: (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 r…

Another provider at this address

Other skilled nursing facility providers in Sister Bay

See all in Sister Bay →

About NPI 1528049301

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1528049301, issued on Nov 9, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Sister Bay, WI. The record was last updated on Nov 28, 2021.