Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
Other names
Good Samaritan Society - Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
Authorized official
MS. KIMBERLY JOHANSEN (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
503 3RD ST NE STE A, DEVILS LAKE, ND 58301-3015
(844) 247-1378
(218) 773-0396
Mailing address
PO BOX 5038, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34339
QUALIFIED PROVIDER SERVIC
ND
01
—
3674
VA
ND
05
—
54912
—
ND
01
—
98871
BLUE CROSS BLUE SHIELD
ND
Enumeration date
11/18/2005
Last updated
10/02/2025
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