# 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 Society - Home Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396991220
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** RAYE NAE NYLANDER (VICE PRESIDENT, CFO)
- **Authorized official phone:** (605) 362-3100

## Contact information

- **Practice address:** 1111 N QUINCY AVE STE 127, OTTUMWA, IA 52501-3864
- **Practice address phone:** (641) 684-9309
- **Practice address fax:** (641) 684-9308
- **Mailing address:** 4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
- **Mailing address phone:** (605) 362-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 08/29/2014