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
640 N Eisenhower St
Moscow, ID 838439588
Mailing address
Po Box 5038
Sioux Falls, SD 571175038
Authorized official
Raye Nae Nylander
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
-
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) | 000010012616 | REGENCE BLUE SHIELD |
| 05 (ID) | 000371900 | |
| 01 (ID) | 01578 | BLUE CROSS IDAHO |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Good Samaritan Society - Moscow Village
-
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.
Provyx · Custom healthcare lists
Need all 173 Skilled Nursing Facility 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.