The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Home Health Agency · Bettendorf, IA

NPI 1588091508 · NPPES record last updated Oct 4, 2013

Key facts

NPI
1588091508
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
985 Lincoln Rd Ste 324a
Bettendorf, IA 52722-4156
Phone
(563) 359-0522
Fax
(563) 359-0603
NPI assigned
Oct 4, 2013
Organization subpart
Yes
Parent organization (as reported)
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Authorized official

Name
Raye Nae Nylander
Title
Cfo
Phone
(605) 362-3100

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Red Oak Iowa Good Sam C (210 organizations share this tax ID)
Part of
Red Oak Iowa Good Sam C

Locations

985 Lincoln Rd
Ste 324A
Bettendorf, IA 52722
Phone (563) 359-0522

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

985 Lincoln Rd Ste 324a
Bettendorf, IA 52722-4156

Mailing address

4800 W 57TH St
Sioux Falls, SD 57108-2239

Other names

  • Good Samaritan Society - Services@Home Doing business as

Other providers in Bettendorf, IA

All providers in Bettendorf, IA · Home Health Agency in Iowa

Sources for this page

Verify at the official NPI Registry.