OrganizationActive
The Evangelical Lutheran Good Samaritan Society
NPI 1831420348 · Custodial Care Facility · Bismarck, ND
Provider details
- NPI number
- 1831420348
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Parent organization
- The Evangelical Lutheran Good Samaritan Society
- Organization subpart
- Yes
- Authorized official
- Eric Vanden Hull, Vice President, Finance(605) 362-5510
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
316 Versailles Ave
Bismarck, ND 58503-0390
Phone: (701) 255-1084
Approximate (ZIP-level) locationGet directions
Mailing address
301 Lorrain Dr
Bismarck, ND 58503-0311
Other names (DBA / former)
- Doing business as
- Augusta Place - a Prospera Community
- Doing business as
- Augusta Place - a Prospera Community
Registry dates
- Enumerated
- 2010-01-22
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.