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The Evangelical Lutheran Good Samaritan Society

NPI 1154545242ActiveOrganization· Assisted Living Facility· Moscow, ID

Assisted Living Facility in Moscow, Idaho, registered in NPPES in April 2007, part of The Evangelical Lutheran Good Samaritan Society. The authorized official on file is Raye Nae Nylander, Vice President, Cfo.

Overview

NPI1154545242
StatusActive
Entity typeOrganization (subpart)
Parent organizationThe Evangelical Lutheran Good Samaritan Society
NPI issuedApr 12, 2007
Last updated in NPPESJun 9, 2022
Certified by providerJun 9, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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