# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Other names:** Augusta Place - a Prospera Community
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508197013
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** ERIC VANDEN HULL (VICE PRESIDENT)
- **Authorized official phone:** (605) 362-5510

## Contact information

- **Practice address:** 301 LORRAIN DR, BISMARCK, ND 58503-0311
- **Practice address phone:** (701) 255-1084
- **Practice address fax:** (701) 751-1342
- **Mailing address:** 4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
- **Mailing address phone:** (605) 362-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2010
- **Last updated:** 11/28/2021