Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Assisted Living Facility · Roseville, MN

NPI number 1831803360 Active

Practice location

563 County B Rd W
Roseville, MN 55113

Call (651) 489-3293 Map

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1831803360
Entity type: Organization (Type 2)
Issued: Jan 10, 2023
Last updated: Jan 10, 2023
Status: Active
Subpart: Yes of Evangelical Lutheran Good Samaritan Society

Other names

Good Samaritan Society Heritage Place of Roseville · doing business as

Authorized official

Joel Adam Fluit
Vice President, Finance
(605) 328-6585

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831803360

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1831803360, issued on Jan 10, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Roseville, MN. The record was last updated on Jan 10, 2023.