# 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 Care, Services@Home - MN Metro
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851853816
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** ERIC VANDEN HULL (VP - FINANCE)
- **Authorized official phone:** (605) 362-5510

## Contact information

- **Practice address:** 4080 W BROADWAY AVE STE 132, ROBBINSDALE, MN 55422-5605
- **Practice address phone:** (763) 324-7924
- **Practice address fax:** (763) 208-6738
- **Mailing address:** 4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
- **Mailing address phone:** (605) 362-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2019
- **Last updated:** 07/15/2021