The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Daytona Beach, Florida. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
325 S Segrave StDaytona Beach, FL 32114-4220
Phone: (386) 253-6791
Fax: (386) 258-3842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Nursing Facility Supplies (DME) | Taxonomy 332BN1400X |
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
Record details
| NPI number | 1962484022 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | The Evangelical Lutheran Good Samaritan Society |
| Authorized official | Eric Vanden Hull — Vp, Finance · (605) 362-3100 |
| Other names | Good Samaritan Society - Daytona; Good Samaritan Society - Daytona |
| NPI enumerated | November 15, 2005 |
| Last updated in NPPES | October 25, 2021 |
| Certification date | October 25, 2021 |
| Mailing address | Po Box 5038, Sioux Falls, SD 57117-5038 |
Clinicians affiliated with this facility
- Dr. Antonio Manuel Portilla-Cintron Jr., MD Research Study Specialist · Daytona Beach, FL
Other providers in Daytona Beach
-
Sandalwood Operating LLC
1001 S Beach St, Daytona Beach, FL 32114-6204 · (386) 258-3334
-
Seaside Center Operations LLC
324 Wilder Blvd, Daytona Beach, FL 32114-6025 · (386) 252-2600
-
Solaris Healthcare Daytona LLC
550 National Health Care Dr, Daytona Beach, FL 32114-1494 · (386) 257-6362
-
Terrace of Daytona Beach LLC
1704 Huntington Village Cir, Daytona Beach, FL 32114-1484 · (386) 255-6571
-
VA Medical Center
1920 Mason Ave Emory L Bennett VA Nursing Home, Daytona Beach, FL 32117-5103 · (386) 274-3460