Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society- Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MS. ERIC VANDENHULL (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
2885 COUNTRY DR STE 165, LITTLE CANADA, MN 55117-1097
(651) 488-7680
(651) 488-7687
Mailing address
2885 COUNTRY DR STE 165, LITTLE CANADA, MN 55117-1097
(651) 488-7680
(651) 488-7687
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026762
PREFERRED ONE
MN
01
—
129667
UCARE
MN
01
—
4980077
MEDICA
MN
05
—
612216700
—
MN
01
—
9K40G0
INSURANCE BLUE PLUS
MN
Enumeration date
11/18/2005
Last updated
09/20/2021
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