OrganizationActive
The Evangelical Lutheran Good Samaritan Society
NPI 1720078348 · Skilled Nursing Facility · Prophetstown, IL
Provider details
- NPI number
- 1720078348
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- The Evangelical Lutheran Good Samaritan Society
- Organization subpart
- Yes
- Authorized official
- Raye Nae Nylander, Cfo(605) 362-3100
Specialties & taxonomies
Nursing & Custodial Care Facilities
Suppliers
- Nursing Facility Supplies (DME)332BN1400X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
310 Mosher Dr
Prophetstown, IL 61277-1001
Phone: (815) 537-5175
Fax: (815) 537-2628
Street-level locationGet directions
Mailing address
Po Box 5038
Sioux Falls, SD 57117-5038
Other names (DBA / former)
- Doing business as
- Good Samaritan Society - Prophets Riverview
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2012-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.