The Evangelical Lutheran Good Samaritan Society

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

Manzano Del Sol Good Samaritan Home Health

Practice address

5201 Roma Ave NE
Albuquerque, NM 87108-1334

Phone

(505) 256-6212

Fax

(505) 266-7025

NPI assigned

Nov 18, 2005

Last updated

Dec 21, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYAs reported in NPPES

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

Authorized official

Name

Ms. Raye Nae Nylander

Title

Cfo

Phone

(605) 362-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manzano Del Sol Good Samaritan Home Health Doing business as

Part of

Evangelical Lutheran Good

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1447232897",
    "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": "605-362-3100",
            "fax_number": "605-362-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 ROMA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081334",
            "telephone_number": "505-256-6212",
            "fax_number": "505-266-7025"
        }
    ],
    "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": "2005-11-18",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "RAYE NAE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-362-3100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "105",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manzano Del Sol Good Samaritan Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Conscious Escape, Inc.
• The Couple and Family Therapy Center of New Mexico LLC
• The Doula Tree Network
• The Enhancement Center, P.C.
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Manzano Del Sol)
• The Evolution Group Inc.
• The Family Connection LLC
• The Fertility Center of New Mexico LLC
• The Foot and Ankle Clinic of Albuquerque, P.C.
• The Gardener Spiritual Counseling

• Home Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.