{"npi":"1366432023","type":"NPI-2","status":"active","name":{"display":"The Evangelical Lutheran Good Samaritan Society","other":[],"organization_name":"THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY","authorised_official":"Raye Nae Nylander"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"332BN1400X","description":"Nursing Facility Supplies (DME)","primary":false,"state":null,"license":null},{"code":"332BP3500X","description":"Parenteral & Enteral Nutrition Supplies (DME)","primary":false,"state":null,"license":null},{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"840 E ELVA ST","city":"IDAHO FALLS","state":"ID","postal_code":"834012801","country_code":"US","phone":"2085234795","fax":"2085229175"},{"purpose":"MAILING","street_1":"PO BOX 5038","city":"SIOUX FALLS","state":"SD","postal_code":"571175038","country_code":"US","phone":"6053623100","fax":"6053623265"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"01453","state":"ID","issuer":"BLUE CROSS IDAHO"},{"type_code":"05","label":"Medicaid","value":"000372000","state":"ID","issuer":null},{"type_code":"01","label":"Other","value":"000010012984","state":"ID","issuer":"REGENCE BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-10-25","last_updated":"2021-10-25","_meta":{"source":"NPPES","snapshot_date":"2021-10-25","doc_url":"https://findmynpi.com/api"}}