THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


Address: 24090 Smiley Rd Ste 200, Nisswa, MN 56468
Phone: 2189639842

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1740293083) 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) 1740293083
Entity Type Organization
Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name GOOD SAMARITAN SOCIETY- HOMEC CARE AND HOSPICE
Practice Address 24090 Smiley Rd Ste 200
Nisswa
MN 56468
Mailing Address 24090 Smiley Rd Ste 200
Nisswa
MN 56468-2946
Practice Telephone 2189639842
Enumeration Date 2006-08-15
Last Update Date 2019-11-01
Authorized Official Name ERIC VANDENHULL (EXECUTIVE VP)
Authorized Official Telephone 6053623900
Is Organization Subpart Y
Parent Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider/Organization Names

Other Name Type Code
Good Samaritan Home Care Doing Business As Name - Organization
Good Samaritan Society- Homec Care and Hospice 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 24090 SMILEY RD STE 200
City NISSWA
State MN
Zip Code 56468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225017320 The Evangelical Lutheran Good Samaritan Society Home Health 24090 Smiley Rd Ste 200, Nisswa, MN 56468-2946 2006-01-17
1427685320 Lynn Marie Steidler-thompson Occupational Therapist 24090 Smiley Rd Ste 200, Nisswa, MN 56468-2946 2020-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679792147 Paul M Perpich Dentist 5461 City Hall, Nisswa, MN 56468 2007-04-24
1972649846 Mary Katherine Verkennes Psychologist 25039 East Clark Lake Road, Nisswa, MN 56468 2007-01-29
1578646360 Wellnessone of Nisswa Chiropractor 5482 County Rd. 18, Nisswa, MN 56468 2006-10-23
1043393838 Derrek Johnson Chiropractor 5482 County Road 18, Nisswa, MN 56468 2006-10-23
1295816486 Seth Michael Smart Chiropractor 5314 Nisswa Avenue, Nisswa, MN 56468 2006-10-17
1588764856 Craig Brian Johnson Dentist 25579 Church St, Nisswa, MN 56468 2006-09-25
1811487887 Acquire Mental Health Clinic Counselor 25282 Hazelwood Dr, Nisswa, MN 56468 2018-05-15
1114250313 Aron Michael Stumvoll Chiropractor 5482 County Road 18, Nisswa, MN 56468 2009-09-08
1801019799 Dennis Dean Hins Pharmacist 25527 Main Street, Nisswa, MN 56468-0200 2007-04-10
1073812418 Pine River Eye Center, Inc. Eyewear Supplier (Equipment, not the service) 5457 City Hall St, Nisswa, MN 56468-0349 2011-03-24
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1922628700 Brian Phillip St John Hospice Care, Community Based 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 2020-04-21
1114576279 Moments Hospice of Duluth LLC Hospice Care, Community Based 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 2019-09-10
1770142762 St Croix Hospice LLC Hospice Care, Community Based 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 2019-06-12
1619536620 St Croix Hospice LLC Hospice Care, Community Based 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 2019-06-12
1073177986 Hospice of Minnesota, LLC Hospice Care, Community Based 404 W Superior St Ste 290, Duluth, MN 55802-1504 2019-04-25
1336702000 Elite Quality Services, LLC Hospice Care, Community Based 3555 Main St Ne, Minneapolis, MN 55418-1144 2019-04-18
1376008441 Moments Hospice of Rochester LLC Hospice Care, Community Based 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 2019-02-04
1366907446 Moments Hospice of St Cloud LLC Hospice Care, Community Based 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 2019-02-04
1174005953 Carris Health - Redwood LLC Hospice Care, Community Based 1110 E Bridge St, Redwood Falls, MN 56283-1808 2018-08-29
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Competitor

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City NISSWA
Zip Code 56468

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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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