Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Evangelical Lutheran Good Samaritan Society

Organization Assisted Living Facility · NPI 1154545242

The Evangelical Lutheran Good Samaritan Society is an Assisted Living Facility in Moscow, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

640 N Eisenhower St
Moscow, ID 83843-9588
Phone: (208) 882-6560
Fax: (208) 882-6569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1154545242
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Evangelical Lutheran Good Samaritan Society
Authorized official Raye Nae Nylander — Vice President, Cfo · (605) 362-3100
Other names Good Samaritan Society Moscow Village
NPI enumeratedApril 12, 2007
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address4800 W 57th St, Sioux Falls, SD 57108-2239

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Moscow