1962484022 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
Active
Basic Information
- Organization Name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Enumeration Date
- November 15, 2005
- Last Update
- October 25, 2021
- Authorized Official
- MR. ERIC VANDEN HULL
VP, FINANCE
Phone: (605) 362-3100
Practice Location
- Address
- 325 S SEGRAVE ST
DAYTONA BEACH, FL 321144220 - Phone
- (386) 253-6791
- Fax
- (386) 258-3842
Mailing Address
- Address
- PO BOX 5038
SIOUX FALLS, SD 571175038 - Phone
- (605) 362-3100
- Fax
- (605) 362-3265
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Nursing Facility Supplies (DME) Nursing Facility Supplies | 332BN1400X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Parenteral & Enteral Nutrition Supplies (DME) Parenteral & Enteral Nutrition | 332BP3500X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Skilled Nursing Facility | 314000000X | Skilled Nursing Facility | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141221300 | 01 | FL | MEDICAID ALF OSS |
| 7100409 | 01 | FL | EVERCARE |
| 675714601 | 05 | FL | N/A |
| 020439100 | 05 | FL | N/A |
| K2S | 01 | FL | BLUE CROSS BLUE SHIELD |
Digital Endpoints
CONNECT Use: OTHER
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.1068.1
Affiliation: Cobius Healthcare Solutions
Frequently Asked Questions
What is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's NPI number?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's NPI number is 1962484022.
Which doctor has NPI number 1962484022?
The doctor with NPI number 1962484022 is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
What is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's practice address?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's practice address is 325 S SEGRAVE ST, DAYTONA BEACH, FL, 321144220.
Which doctor practices at 325 S SEGRAVE ST, DAYTONA BEACH, FL, 321144220?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY practices at 325 S SEGRAVE ST, DAYTONA BEACH, FL, 321144220.
What is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's mailing address?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's mailing address is PO BOX 5038, SIOUX FALLS, SD, 571175038.
What is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's phone number?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's phone number is (386) 253-6791.
Who is (386) 253-6791?
(386) 253-6791 is the phone number for THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY.
What is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's specialty?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY's specialty is Skilled Nursing Facility.
What type of doctor is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is a Skilled Nursing Facility.
Is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY a Skilled Nursing Facility?
Yes, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is a Skilled Nursing Facility.
Is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY still practicing?
Yes, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is currently practicing.
Is THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY accepting new patients?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY may be accepting new patients. Please call their office at (386) 253-6791 to inquire about availability.
Is NPI 1962484022 still active?
Yes, NPI 1962484022 is currently active.
Where does THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY practice?
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY practices in DAYTONA BEACH, FL.