Organization · Type 2 NPI
The Evangelical Lutheran Good Samaritan Society
Skilled Nursing Facility · Prophetstown, IL
Practice location
310 Mosher Dr
Prophetstown, IL 61277-1001
Fax (815) 537-2628
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | None listed |
| Nursing Facility Supplies (DME) | 332BN1400X | None listed |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | None 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…
4 other providers at this address
- Allure of Prophetstown, LLCSkilled Nursing Facility Prophetstown, IL NPI 1689238644
- Mary Kathryn Keli Henrekin, MS, CCC-SLPSpeech-Language Pathologist Prophetstown, IL NPI 1639529886
- Samantha Lauren Wallenberg, MS, OTD, OTR/LOccupational Therapist Prophetstown, IL NPI 1306682208
- Tyla HughesPhysical Therapy Assistant Prophetstown, IL NPI 1013562651
Other skilled nursing facility providers in Prophetstown
About NPI 1720078348
The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1720078348, issued on Oct 25, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Prophetstown, IL. The record was last updated on Dec 27, 2012.