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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | L6K | 01 |
FL | 675714700 | 05 | |
FL | 021279200 | 05 |
Other Name | Type Code |
---|---|
Good Samaritan Society - Florida Lutheran | Doing Business As Name - Organization |
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 |
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 |
Street Address |
450 N MCDONALD AVE |
City | DELAND |
State | FL |
Zip Code | 32724-3634 |
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 |
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 |
Find all providers in zip 32724 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | 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 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. |
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 |
Find all providers in DELAND |
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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.