The Evangelical Lutheran Good Samaritan Society, NPI 1053392548
In Home Supportive Care Agency in Boise, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1053392548 |
| NPI Entity Type | Organization |
| Provider Name |
The Evangelical Lutheran Good Samaritan Society
Doing Business As |
| Subpart of Organization | The Evangelical Lutheran Good Samaritan Society |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3115 N Sycamore Dr, Boise, ID, US |
| Provider Mailing Address | Po Box 5038, Sioux Falls, SD, US, 571175038 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Raye Nae Nylander |
| Official Position | CFO |
| Phone | 605-362-3100 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | In Home Supportive Care Agency |
| Classification | |
| Group | |
| Description | An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 805490400 | ID | MEDICAID ID - TBI PROGRAM | 01 |
| 0000100129001 | ID | REGENCE | 01 |
| 000371800 | ID | MEDICAID | 05 |
| 01123 | ID | BC - IDAHO | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| CONNECT | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | 2.16.840.1.113883.3.1068.1 | OTHER | Yes | 2720 Dundee Rd # 302, Northbrook, IL, US |
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