Evangelical Lutheran Good Samaritan Society

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

Good Samaritan Loveland Village

Practice address

2101 S Garfield Ave
Loveland, CO 80537-7377

Phone

(970) 669-3100

Fax

(970) 663-4526

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marlyn Tande

Title

Executive Director

Phone

(970) 669-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Samaritan Loveland Village Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1144414954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S GARFIELD AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377377",
            "telephone_number": "970-669-3100",
            "fax_number": "970-663-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S GARFIELD AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377377",
            "telephone_number": "970-669-3100",
            "fax_number": "970-663-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "TANDE",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-669-3100"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIARE ID NUMBER",
            "identifier": "C374108",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Loveland Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Estrada
• Shailee Tereza Estrada
• Bradley A Ethington, DO
• John David Eubanks, PD
• Eutierria Mental Health PLLC
• Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Services@Home)
• Tina L Evans, RPH
• Evergreen Home Healthcare, LLC (Aveanna Healthcare)
• Evergreen Home Healthcare, LLC. (Aveanna Healthcare)
• Everkind Therapy, PLLC

• Health Service Clinic/Center in Loveland, CO
• Providers in Loveland, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.