THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1831691815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831691815 |
| Entity Type | Organization |
| Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Other Organization Name | GOOD SAMARITAN SOCIETY - SERVICES@HOME |
| Practice Address |
1543 Aldersgate Dr Kissimmee FL 34746-6545 |
| Mailing Address |
4800 W 57th St Sioux Falls SD 57108-2239 |
| Practice Telephone | 4075182895 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | GEORGE GRANT TRIBBLE (EXECUTIVE VP - FINANCE) |
| Authorized Official Telephone | 6053623900 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Good Samaritan Society - Services@Home | 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 |
| Washington State Corporations | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 4800 West 57th Street, Sioux Falls, SD 57117 |
| Street Address |
1543 ALDERSGATE DR |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34746-6545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609858083 | The Evangelical Lutheran Good Samaritan Society | Home Health | 1543 Aldersgate Dr, Kissimmee, FL 34746-6545 | 2005-11-18 |
| 1124264114 | Loretta V Henderson Dpm | Durable Medical Equipment & Medical Supplies | 1543 Aldersgate Dr, Kissimmee, FL 34746-6545 | 2008-12-23 |
| 1427226364 | Loretta V Henderson, Dpm | Clinic/Center | 1543 Aldersgate Dr, Kissimmee, FL 34746-6545 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
| 1538663240 | Terri Alexander Charlock | Specialist/Technologist | 5314 Barefoot Path, Kissimmee, FL 34746 | 2018-03-19 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
| 1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
| 1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
| 1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
| 1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
| Find all providers in zip 34746 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316780 | Care and Life Services LLC | Home Health | 722 Patrick St Ste 205, Kissimmee, FL 34741-5612 | 2020-08-14 |
| 1740801877 | Molina Provider Care | Home Health | 2544 Isabela Ter, Kissimmee, FL 34743-5816 | 2020-04-29 |
| 1528689866 | Airiausha Judkins | Home Health | 2971 Winding Trl, Kissimmee, FL 34746-2809 | 2020-04-28 |
| 1588298723 | Markeisha Griner | Home Health | 233 Gardenia Rd, Kissimmee, FL 34743-6334 | 2020-02-26 |
| 1639703218 | Lhcg Clvi, LLC | Home Health | 1167 Miranda Ln, Kissimmee, FL 34741-0763 | 2020-02-24 |
| 1437789526 | Blessed Care Services,pllc | Home Health | 4426 Azure Isle Way, Kissimmee, FL 34744-9600 | 2020-01-17 |
| 1720648694 | Xiomara Cruz | Home Health | 722 Patrick St Ste 206, Kissimmee, FL 34741-5612 | 2019-06-13 |
| 1265090914 | Kadia Kedesha Sterling | Home Health | 121 Pansy Ct, Kissimmee, FL 34743-5604 | 2019-05-29 |
| 1427614981 | Aidecare LLC | Home Health | 4027 Greenleaf Dr, Kissimmee, FL 34744-9148 | 2019-05-10 |
| 1205305034 | Duane A Rawlins | Home Health | 4311 Bay Vista Dr, Kissimmee, FL 34746-6053 | 2018-11-22 |
| Find all providers in KISSIMMEE | ||||
Please comment or provide details below to improve the information on THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
| 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.