Active NPI
The Evangelical Lutheran Good Samaritan Society
- Skilled Nursing Facility
- Denton, TX
National Provider Identifier
1891786174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 2500 Hinkle Dr
Denton, TX 76201-0739 - Phone
- (940) 383-2651
- Fax
- (940) 382-9306
- NPI assigned
- Nov 4, 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
- Mr. Joel Fluit
- Title
- VP, Finance
- 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
2500 Hinkle Dr
Denton, TX 76201-0739
Mailing address
4800 W 57TH St
Sioux Falls, SD 57108-2239
Phone (605) 323-3453
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000509801 | Medicaid | TX | |
| 0140910110 | Other | TX | MEDICARE NSC |
| 455627 | Other | TX | MEDICARE OSCAR/CERTIFICATION |
Other names 1
- Good Samaritan Society - Denton Village
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 |
National Provider Directory
National Provider Directory- Part of
- Red Oak Iowa Good Sam C
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Sioux Falls, SD
- NPI 1952385015
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1063606283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1891786174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 W 57TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082239",
"telephone_number": "605-323-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HINKLE DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762010739",
"telephone_number": "940-383-2651",
"fax_number": "940-382-9306"
}
],
"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": "2005-11-04",
"last_updated": "2025-09-02",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "FLUIT",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "VP, FINANCE",
"authorized_official_telephone_number": "605-362-5416",
"authorized_official_name_prefix": "Mr."
},
"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": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000509801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "0140910110",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OSCAR/CERTIFICATION",
"identifier": "455627",
"state": "TX"
}
],
"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 - Denton Village",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.