{
  "npi": "1720069495",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "TONY",
    "authorized_official_last_name": "MORRISON",
    "authorized_official_middle_name": "LEE",
    "authorized_official_telephone_number": "6053288380",
    "authorized_official_title_or_position": "VP Chief Rev Cycle Officer",
    "certification_date": "2026-10-09",
    "enumeration_date": "2005-11-09",
    "last_updated": "2026-10-09",
    "organization_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 5074",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SIOUX FALLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "605-328-8311",
      "postal_code": "571175074",
      "state": "SD",
      "telephone_number": "605-328-6585"
    },
    {
      "address_1": "421 E 4TH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MILLER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "605-853-3370",
      "postal_code": "573621539",
      "state": "SD",
      "telephone_number": "605-853-2701"
    }
  ],
  "taxonomies": [
    {
      "code": "313M00000X",
      "desc": "Nursing Facility/Intermediate Care Facility",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "314000000X",
      "desc": "Skilled Nursing Facility",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332BN1400X",
      "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332BP3500X",
      "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)",
    "certifying_board": "CMS Five-Star Quality Rating System / State Department of Health",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A1[8]",
        "medicare_type": "Skilled Nursing Facility"
      }
    ]
  }
}