GOOD SAMARITAN SOCIETY - MOSCOW VILLAGE
NPI 1598755266
Skilled Nursing Facility in Moscow, ID

Active since October 25, 2005
640 N EISENHOWER ST, MOSCOW, ID 83843(208) 882-6560(208) 882-6569 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 1598755266) is a healthcare organization registered as a skilled nursing facility in Moscow, Idaho and active in the NPI registry since October 2005. The organization lists Raye Nae Nylander, Cfo, as its authorized official.

NPPES Registry Identity

NPI1598755266
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address640 N EISENHOWER STMoscow, ID 83843-9588
Mailing AddressPo Box 5038Sioux Falls, SD 57117-5038 · (605) 362-3100 · Fax (605) 362-3265
Fax(208) 882-6569
Organization SubpartYes
Authorized OfficialRaye Nae NylanderCfo · (605) 362-3100
Enumeration DateOctober 25, 2005
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
NPI 1598755266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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 requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
640 N EISENHOWER ST, Moscow, ID 83843

Other Names 1

Doing Business AsGood Samaritan Society - Moscow Village

Other Identifiers 3

Other000010012616ID · Regence Blue Shield
Medicaid000371900ID
Other01578ID · Blue Cross Idaho

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.

Occupational Therapy Assistant
640 N EISENHOWER ST
MOSCOW, ID 83843
Assisted Living Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Occupational Therapist
640 N EISENHOWER ST
MOSCOW, ID 83843
Speech-Language Pathologist
640 N EISENHOWER ST
MOSCOW, ID 83843
Physical Therapy Assistant
640 N EISENHOWER ST
MOSCOW, ID 83843
Speech-Language Pathologist
640 N EISENHOWER ST
MOSCOW, ID 83843
Assisted Living Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Skilled Nursing Facility
640 N EISENHOWER ST
MOSCOW, ID 83843

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 1598755266. It was assigned to this organization in the NPPES registry on October 25, 2005. 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 Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on October 25, 2021. 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.