NPI age
20 years
Enumerated 2005-10-25
● 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
840 E Elva St
Idaho Falls, ID 834012801
Mailing address
Po Box 5038
Sioux Falls, SD 571175038
Authorized official
Raye Nae Nylander
Cfo
📞 6053623100
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jared Morrison, CSW Social Worker NPI 1407872377
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 |
|---|---|---|
| 01 (ID) | 01453 | BLUE CROSS IDAHO |
| 05 (ID) | 000372000 | |
| 01 (ID) | 000010012984 | REGENCE BLUE SHIELD |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Good Samaritan Society - Idaho Falls Village
-
Good Samaritan Society - Idaho Falls Village
Practice context
Multi-provider organization. 1 individual provider 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 →
- 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.