NPI age
20 years
Enumerated 2005-11-10
● Active Type 2 · Organization
Subpart
The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is 1 of 255 in home supportive care organizations in Idaho.
Primary specialty
In Home Supportive Care
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nylander
Cfo
Last NPPES update
2024-06-03
Source: monthly bulk 2026-05
How this organization compares
Across 255 active in home supportive care providers in Idaho.
NPI age
20 years
↑ 16 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 17% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
129 E 50th St
Garden City, ID 837142407
Mailing address
Po Box 5038
Sioux Falls, SD 571175038
Authorized official
Raye Nae Nylander
Cfo
📞 6053623100
Specialties
-
In Home Supportive Care PrimaryAn In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 0000100129001 | REGENCE |
| 01 (ID) | 01123 | BC - IDAHO |
| 05 (ID) | 000371800 | |
| 01 (ID) | 805490400 | MEDICAID ID - TBI PROGRAM |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Good Samaritan Society - Boise Village
-
Good Samaritan Society - Boise Village
Practice context
Single-site organization. Only one practice location on file.
Subpart of The Evangelical Lutheran Good Samaritan Society.
Provyx · Custom healthcare lists
Need all 255 In Home Supportive Care providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.