Active NPI
The Evangelical Lutheran Good Samaritan Society
- Skilled Nursing Facility
- Kaneohe, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 45-090 Namoku St
Kaneohe, HI 96744-5305 - Phone
- (808) 236-7823
- Fax
- (808) 235-9661
- NPI assigned
- Oct 25, 2005
- Organization subpart
- Yes
- Parent organization
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Fluit
- Title
- Chief Financial Officer
- Phone
- (605) 362-5416
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary | ||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
45-090 Namoku St
Kaneohe, HI 96744-5305
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Phone (808) 236-7823
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000049809 | Other | HI | HMSA |
| 43809 | Other | HI | KAISER SENIOR ADVANTAGE |
Other names 2
- Good Samaritan Society - Pohai Nani
- Harry and Jeannette Weinberg Care Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070801000208 | HI | Part A Provider - Skilled Nursing Facility | 1951218817 | Practice locations: Kaneohe, HI |
Skilled nursing facility certification: CCN 125033
- Legal name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Doing business as
- HARRY AND JEANETTE WEINBERG CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1978
- Last certification
- Jan 30, 2025
- Beds
- 44
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Evangelical Lutheran Good Samaritan So
- Organization structure
- Corporation
- Incorporated
- Sep 22, 1922 in ND
- Enrollment address
- 45-090 Namoku St
Kaneohe, HI 96744-5305 - Nursing home name
- HARRY AND JEANETTE WEINBERG CARE CENTER
- Affiliated entity
- GOOD SAMARITAN SOCIETY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Harry and Jeanette Weinberg Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 1, 1978
- Medicare certification status
- Active
- Certified beds
- 44
- Chain
- Good Samaritan Society
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0902720 | Harry & Jeanette Weinberg Care CNTR at Pohai Nani | Certificate of waiver | Jun 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Red Oak Iowa Good Sam C
- Part of
- Red Oak Iowa Good Sam C
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- In Home Supportive Care Agency
- Kaneohe, HI
- NPI 1497217251
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Lundeen | Corporate Director | May 30, 2024 | |
| Marnie Lynn Ventling-Herrmann | Corporate Director | May 30, 2024 | |
| Tony Lee Morrison | Operational/Managerial Control | Jan 1, 2019 | |
| Adp of the SNF | Jan 1, 2019 | ||
| Brent Gerard Teiken | Corporate Director | May 30, 2024 | |
| Joel Adam Fluit | Corporate Officer | Oct 1, 2022 | |
| Andrew Stewart North | Corporate Director | May 30, 2024 | |
| Beryl Muramatsu | Operational/Managerial Control | Mar 29, 2015 | |
| Adp of the SNF | Mar 29, 2015 | ||
| Aimee Nicole Middleton | Corporate Officer | Jan 27, 2022 | |
| Stephanie Marie Herseth Sandlin | Corporate Officer | May 30, 2024 | |
| William Joseph Gassen | Corporate Officer | May 30, 2024 | |
| Corporate Director | May 30, 2024 | ||
| George Joseph Brown | Corporate Director | Jan 1, 2025 | |
| Wesley Owen Engbrecht | Corporate Director | May 30, 2024 | |
| Maureen Patricia McCausland | Corporate Director | Jan 1, 2025 | |
| Sanford | 5% Or Greater Direct Ownership Interest | Jan 1, 2019 | |
| Marios G Voulgaridis | Operational/Managerial Control | Oct 24, 2023 | |
| Adp of the SNF | Oct 24, 2023 | ||
| Nathan Thomas Schema | Corporate Officer | Jan 1, 2022 | |
| Thomas Richard Wenzel | Corporate Director | Jan 1, 2025 | |
| Neil Leslie Gulsvig | Corporate Director | May 30, 2024 | |
| Kevin Victor Schieffer | Corporate Director | Jan 1, 2025 | |
| Lauris Nelson Molbert | Corporate Director | May 30, 2024 | |
| Nicholas Wayne Olson | Corporate Officer | Jun 28, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Honolulu, HI
- NPI 1770719098
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 108
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Good Samaritan Society - Syracuse | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Mountain Lake | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Westbrook | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Holstein | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Lemars | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society-Osceola | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Souris Valley Care Center | Skilled nursing facility | Operational/Managerial Control | Sep 1, 1991 |
| Good Samaritan Society - Maplewood | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Olathe | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - International Falls | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Ambassador | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - St Lukes | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society- St Ansgar | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Liberal | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Saint James | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Scotland | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Windom | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Center - Red Oak | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2019 Jan 1, 2019 |
| Hoeger House | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (50%) | Jan 1, 2019 |
| Good Samaritan Society - Luther Manor | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bloomfield | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - St Johns | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Hastings Village | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Edgebrook Care Center | Skilled nursing facility | Operational/Managerial Control | Apr 1, 1991 |
| Good Samaritan Society - Canton | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Canistota | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Sioux Falls Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Sioux Falls Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Stillwater | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Decatur County | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Focusone Solutions LLC | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Howard | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - New Underwood | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Tyndall | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Larimore | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Inver Grove Heights | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bottineau | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Valley Vista | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan - Ellis | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Park River | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Hays | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan - Hutchinson Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Waconia | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Lakota | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Specialty Care Community | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society Oakes | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Algona | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Waukon | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Davenport | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan - Ellsworth Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Mar 28, 2025 |
| Good Samaritan Society - Forest City | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Estherville | Skilled nursing facility | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Manson | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Ottumwa | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - de Smet | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Fort Collins Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Loveland Village | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - George | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Howard Lake | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Albert Lea | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Comforcare | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Bethany | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Albion | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Woodland | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Atkinson | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Pipestone | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Alma | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Blackduck | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Luverne | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society-Millard | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Beatrice | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Jackson | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society Superior | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Auburn | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - Battle Lake | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Pine River | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Miller | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Salem Lutheran Homes | Skilled nursing facility | Operational/Managerial Control (100%) | Nov 20, 2007 |
| Good Samaritan Society - Grand Island Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2019 |
| Litzenberg Memorial Long Term Care | Skilled nursing facility | Operational/Managerial Control | Jul 1, 2017 |
| Good Samaritan Society - Atwood | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2019 |
| Good Samaritan Society - St Martin Village | Skilled nursing facility | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Sunset Drive | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - St Vincent'S | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Focusone Solutions LLC | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Miller Pointe | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Wagner | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Jan 1, 2019 Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Northwest Kansas Home Care | Home health agency | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Home Health | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Home Care of Southeast Nebraska | Home health agency | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2019 Jan 1, 2019 |
| Good Samaritan Society - Home Care of Central Nebraska | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society - Village Home Health | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society - Home Care of Southwest Minnesota | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Home Health of Central Kansas | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society- Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
| Good Samaritan Society Home Care | Home health agency | Operational/Managerial Control (100%) | Jan 1, 2019 |
| Good Samaritan Society Home Care | Home health agency | Operational/Managerial Control | Jan 1, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1124018882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5038",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175038",
"telephone_number": "808-236-7823",
"fax_number": "808-235-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-090 NAMOKU ST",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967445305",
"telephone_number": "808-236-7823",
"fax_number": "808-235-9661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
"enumeration_date": "2005-10-25",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "FLUIT",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "605-362-5416"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000049809",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER SENIOR ADVANTAGE",
"identifier": "43809",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Good Samaritan Society - Pohai Nani",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Harry and Jeannette Weinberg Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Harry and Jeannette Weinberg Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.