NPI age
19 years
Enumerated 2007-04-12
● Active Type 2 · Organization
Subpart
The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is 1 of 201 assisted living facility organizations in Idaho.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nylander
Vice President, Cfo
Last NPPES update
2022-06-09
Source: monthly bulk 2026-05
How this organization compares
Across 201 active assisted living facility providers in Idaho.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
640 N Eisenhower St
Moscow, ID 838439588
Mailing address
4800 W 57th St
Sioux Falls, SD 571082239
Authorized official
Raye Nae Nylander
Vice President, Cfo
📞 6053623100
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Tami Dial, MA Speech-Language Pathologist NPI 1487985198
- Nelson Jamir Physical Therapy Assistant NPI 1568901080
- Christine Owens Physical Therapist NPI 1922514967
- Sydney Poorbaugh, DPT Physical Medicine & Rehabilitation NPI 1902535552
- Frances Preston, OTR/L Occupational Therapist NPI 1366751315
- Sandee Schumacher, MS CCC SLP Speech-Language Pathologist NPI 1588719108
- Aubrey Weaver, OTA Occupational Therapy Assistant NPI 1023403805
- Annetta Wilson, P.T. Specialist NPI 1891025482
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8063117 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Good Samaritan Society Moscow Village
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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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