OrganizationActive
The Evangelical Lutheran Good Samaritan Society
NPI 1962484022 · Skilled Nursing Facility · Daytona Beach, FL
Provider details
- NPI number
- 1962484022
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- The Evangelical Lutheran Good Samaritan Society
- Organization subpart
- Yes
- Authorized official
- Eric Vanden Hull, Vp, Finance(605) 362-3100
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Nursing Facility Supplies (DME)332BN1400X
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
325 S Segrave St
Daytona Beach, FL 32114-4220
Phone: (386) 253-6791
Fax: (386) 258-3842
Street-level locationGet directions
Mailing address
Po Box 5038
Sioux Falls, SD 57117-5038
Other names (DBA / former)
- Doing business as
- Good Samaritan Society - Daytona
- Doing business as
- Good Samaritan Society - Daytona
Registry dates
- Enumerated
- 2005-11-15
- Last updated
- 2021-10-25
- Certified
- 2021-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.