THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI 1083838437

NPI Information

NPI: 1083838437
Provider Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing Business As: GOOD SAMARITAN SOCIETY - SILVER WOOD VILLAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
405 WEST 7TH STREET
SILVERTON, ID
ZIP 83867
Phone: (208) 556-1147
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THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is an assisted living facility in Silverton, ID. The provider is 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. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI is 1083838437. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Society - Silver Wood Village.

The provider's business location address is:

405 WEST 7TH STREET
SILVERTON, ID
ZIP 83867-358
Phone: (208) 556-1147
Fax: (208) 753-6411

The provider's authorized official is Raye Nae Nylander .
The authorized official title is Vice President, Cfo and has the following contact phone number (605) 362-3100.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	806366900	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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