# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Other names:** Good Samaritan - Olathe, Good Samaritan Society - Olathe
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003807421
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** MR. TONY MORRISON (VP, CHIEF REVENUE CYCLE OFFICER)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 20705 W 151ST ST, OLATHE, KS 66061-7222
- **Practice address phone:** (913) 782-1372
- **Practice address fax:** (913) 782-7833
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (605) 328-6585
- **Mailing address fax:** (605) 328-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100108760A | — | KS |
| 01 | — | 90526017 | BLUE CROSS BLUE SHIELD | KS |
