Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
JOEL FLUIT (VICE PRESIDENT, FINANCE)
(605) 362-5416
Entity
Organization
Contact information
Practice address
4075 TIMBERLINE ST, GRAND ISLAND, NE 68803-6553
(308) 382-4054
(308) 382-4033
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
—
1851373294
NPI
NE
01
—
213
PRIVATE PAY
NE
01
—
226
THE VILLA
NE
Enumeration date
11/18/2005
Last updated
12/19/2023
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