THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


Address: 450 N Mcdonald Ave, Deland, FL 32724-3634
Phone: 3867380212

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1639153265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639153265
Entity Type Organization
Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name GOOD SAMARITAN SOCIETY - FLORIDA LUTHERAN
Practice Address 450 N Mcdonald Ave
Deland
FL 32724-3634
Mailing Address 4800 West 57th Street P.o. Box 5038
Sioux Falls
SD 57117-5038
Practice Telephone 3867380212
Practice Fax Number 3867385197
Mailing Telephone 6053623100
Mailing Fax Number 6053623265
Enumeration Date 2005-12-06
Last Update Date 2012-12-27
Authorized Official Name MS. RAYE NAE NYLANDER (CFO)
Authorized Official Telephone 6053623100
Is Organization Subpart Y
Parent Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
Suppliers
N 332BN1400X Durable Medical Equipment & Medical Supplies
Specialization: Nursing Facility Supplies
Suppliers
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHIELD L6K 01
FL 675714700 05
FL 021279200 05

Other Provider/Organization Names

Other Name Type Code
Good Samaritan Society - Florida Lutheran Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497217251 The Evangelical Lutheran Good Samaritan Society In Home Supportive Care 45-090 Namoku St. Cottage H, Kaneohe, HI 96744 2019-04-02
1851853816 The Evangelical Lutheran Good Samaritan Society In Home Supportive Care 1415 Lilac Dr N Ste 260, Golden Valley, MN 55422-4545 2019-04-01
1740769595 The Evangelical Lutheran Good Samaritan Society Nurse Practitioner 301 S Highway 12b, Park River, ND 58270 2018-08-13
1952888414 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 2765 Virginia Avenue N., New Hope, MN 55427 2018-07-26
1780186536 The Evangelical Lutheran Good Samaritan Society In Home Supportive Care 1217 Ne Burnside Rd Ste 704, Gresham, OR 97030-5770 2018-03-07
1881112290 The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility 4825 Jericho Way, Rapid City, SD 57702-9694 2017-09-06
1982154993 The Evangelical Lutheran Good Samaritan Society Clinic/Center 216 Samaritan Cir, Belington, WV 26250-8141 2016-10-13
1659725364 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 400 S Mckinley St, Warren, MN 56762-1439 2016-04-19
1649640236 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 2015-09-25
1760861975 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 1051 Mulberry Street, Taylors Falls, MN 55084 2015-05-20

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 4800 West 57th Street,p.o. Box 5038, Sioux Falls, SD 57117-5038
Oregon Corporations, Companies and Business Names THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 4800 West 57th Street, Sioux Falls, SD 57117
Iowa Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Cothe Evangelical Lutheran Good Samaritan Society, 4800 West 57th Streetp.o. Box 5038, Sioux Falls, SD 57117
Ohio Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 4800 West 57th Street, Po Box 5038, Sioux Falls, SD 57117-5038
Indiana Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Po Box 5038, 4800 West 57th Street, Sioux Falls, SD 57117-5038
Oklahoma Business Registrations THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY The, 1000 W. Avenue North, Sioux Falls, SD 57104-0000

Office Location

Street Address 450 N MCDONALD AVE
City DELAND
State FL
Zip Code 32724-3634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306287735 Aaskaa Dalal Physical Therapist 450 N Mcdonald Ave, Deland, FL 32724-3634 2013-07-15
1659595841 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 450 N Mcdonald Ave, Deland, FL 32724-3634 2007-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528549490 Ultra Health Providers of Florida Internal Medicine 105 Asterbrooke Dr, Deland, FL 32724 2018-08-28
1811473275 April Gustafson Nurse Practitioner 557 Adenmore Ter, Deland, FL 32724 2018-07-18
1245720820 Total Renal Laboratories Inc Clinical Medical Laboratory 3000 Davita Way, Deland, FL 32724 2018-05-18
1790294742 Deland Manor Assisted Living Corp Assisted Living Facility 245 S. Amelia Ave, Deland, FL 32724 2017-09-21
1639617954 Starting Point Mental Health, LLC Counselor 620 East New York Ave Ste B, Deland, FL 32724 2017-02-07
1255877221 Emily Eunice Specialist/Technologist 2589 W Lake Dr., Deland, FL 32724 2017-01-13
1073960357 Robert Solomon Jr. Family Medicine 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 2016-05-17
1730535568 Harold Alexander Hearing Instrument Specialist 124 S. Amelia Ave, Unit #b, Deland, FL 32724 2016-05-11
1720406747 Angel Care Homes LLC Assisted Living Facility 1349 E. Wisconsin Avenue, Deland, FL 32724 2014-04-07
1508298860 Lindenlea Assisted Living Inc. Assisted Living Facility 1180 Jackson Ranch Rd, Deland, FL 32724 2013-08-08
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912147380 Apolonia Jaimes Skilled Nursing Facility 1231 N Alabama Ave, Deland, FL 32724-2352 2009-02-25
1871753301 Mf Oakwood LLC Skilled Nursing Facility 451 South Amelia Avenue, Deland, FL 32724-5917 2008-06-09
1851360242 Woodlands Extended Care Inc Skilled Nursing Facility 120 W Chipola Ave, Deland, FL 32720-7704 2006-03-16
1902898893 Delta Health Group Inc Skilled Nursing Facility 451 S Amelia Ave, Deland, FL 32724-5917 2005-08-17
1760486518 University West Rehabilitation Center, LLC Skilled Nursing Facility 545 W Euclid Ave, Deland, FL 32720-6771 2005-06-09
1346244191 University East Rehabilitation Center, LLC Skilled Nursing Facility 991 E New York Ave, Deland, FL 32724-5664 2005-06-09
1932711330 Parkside Operations LLC Skilled Nursing Facility 451 S Amelia Ave, Deland, FL 32724-5917 2020-08-18
1194232066 University Center East Operating LLC Skilled Nursing Facility 991 E New York Ave, Deland, FL 32724-5664 2018-01-02
1730696600 University Center West Operating LLC Skilled Nursing Facility 545 W Euclid Ave, Deland, FL 32720-6771 2018-01-02
1932514445 Villa Health Nh LLC Skilled Nursing Facility 120 W Chipola Ave, Deland, FL 32720-7704 2014-06-23
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Competitor

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City DELAND
Zip Code 32724

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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