NPI age
20 years
Enumerated 2005-10-26
● Active Type 2 · Organization
Subpart
The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is 1 of 173 skilled nursing facility organizations in Idaho.
Primary specialty
Skilled Nursing Facility
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nylander
Cfo
Last NPPES update
2021-10-25
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 6% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
405 West 7th Street
Silverton, ID 838670358
Mailing address
Po Box 5038
Sioux Falls, SD 571175038
Authorized official
Raye Nae Nylander
Cfo
📞 6053623100
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806366900 | |
| 05 (ID) | 0003721 | |
| 01 (ID) | 000010012644 | REGENCE BLUE SHIELD |
| 05 (ID) | 805819800 | |
| 01 (ID) | 01545 | BLUE CROSS IDAHO |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Good Samaritan Society - Silver Wood Village
-
Good Samaritan Society - Silver Wood Village
Practice context
Single-site organization. Only one practice location on file.
Subpart of The Evangelical Lutheran Good Samaritan Society.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.