# SOURIS VALLEY CARE CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Other names:** Souris Valley Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306821087
- **Legal business name:** EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** MS. RAYE NAE B NYLANDER LNHA (CFO, EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (605) 362-3100

## Contact information

- **Practice address:** 300 MAIN ST S, VELVA, ND 58790-7342
- **Practice address phone:** (701) 338-2072
- **Practice address fax:** (701) 338-2031
- **Mailing address:** 300 MAIN ST S, VELVA, ND 58790-7342
- **Mailing address phone:** (701) 338-2072
- **Mailing address fax:** (701) 338-2031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 025 | ND | — |
| 314000000X | Skilled Nursing Facility | 1091A | ND | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 04/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000030216 | — | ND |
| 01 | — | 8144 | BCBS MD- CI | ND |