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GOOD SAMARITAN SOCIETY MOSCOW VILLAGE
NPI 1154545242
Assisted Living Facility in Moscow, ID

Active since April 12, 2007
640 N EISENHOWER ST, MOSCOW, ID 83843(208) 882-6560(208) 882-6569 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Samaritan Society Moscow Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN SOCIETY MOSCOW VILLAGE (NPI 1154545242) is a healthcare organization registered as an assisted living facility in Moscow, Idaho and active in the NPI registry since April 2007. The organization lists Raye Nae Nylander, Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154545242
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address640 N EISENHOWER STMoscow, ID 83843-9588
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239 · (605) 362-3100
Phone(208) 882-6560
Fax(208) 882-6569
Organization SubpartYes
Authorized OfficialRaye Nae NylanderVice President, Cfo · (605) 362-3100
Enumeration DateApril 12, 2007
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1154545242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A 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.
640 N EISENHOWER ST, Moscow, ID 83843
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Other Names 1

Doing Business AsGood Samaritan Society Moscow Village

Other Identifiers 1

Medicaid8063117ID

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUBREY DIANE WEAVER OTA
Occupational Therapy Assistant
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
MRS. FRANCES ANNE PRESTON OTR/L
Occupational Therapist
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
TAMI LYNN DIAL MA
Speech-Language Pathologist
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
NELSON JAMIR
Physical Therapy Assistant
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
SANDEE SCHUMACHER MS CCC SLP
Speech-Language Pathologist
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
MOSCOW OF OLYMPUS LLC
Assisted Living Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 401-9600
MOSCOW NORTH OF CASCADIA, LLC
Skilled Nursing Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 401-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Evangelical Lutheran Good Samaritan Society's NPI number?

The NPI number for The Evangelical Lutheran Good Samaritan Society is 1154545242. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Good Samaritan Society Moscow Village.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 640 N Eisenhower St, Moscow, ID 83843. The listed phone number is (208) 882-6560.

What is The Evangelical Lutheran Good Samaritan Society's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.