# 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 - Millard, Good Samaritan - Millard
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841271244
- **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:** 12856 DEAUVILLE DR, OMAHA, NE 68137-3204
- **Practice address phone:** (402) 895-2266
- **Practice address fax:** (402) 895-8965
- **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 | — | — | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00784 | BLUE CROSS BLUE SHIELD | NE |
| 01 | — | F248048 | MIDLANDS CHOICE | NE |