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The Evangelical Lutheran Good Samaritan Society
Parenteral & Enteral Nutrition Supplies (DME) in Garden City, Idaho
NPI 1053392548

The Evangelical Lutheran Good Samaritan Society is a Parenteral & Enteral Nutrition Supplies (DME) based in Sioux Falls, ID and is specialized in Parenteral & Enteral Nutrition. The Evangelical Lutheran Good Samaritan Society practices in Garden City, ID. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1053392548 and holds a License No. (Idaho).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 129 E 50Th St, Garden City, ID and can be reached out via phone at 208-333-2180.

Location: 129 E 50Th St, Garden City, ID, 57117-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053392548
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
129 E 50Th St, Garden City, ID, 57117-5038
Phone Number
208-333-2180
Fax Number
Provider Enumeration Date
11/10/2005
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000100129001 01 ID REGENCE
01123 01 ID BC - IDAHO
000371800 05 ID
805490400 01 ID MEDICAID ID - TBI PROGRAM
institution
Provider Business Practice Location Address Details
Address
129 E 50Th St
City
Garden City
State
Idaho
Zip
83714-2407
Phone Number
208-333-2180
Fax Number
person
Provider Business Mailing Address Details
Address
129 E 50Th St
City
Garden City
State
Idaho
Zip
83714-2407
Phone Number
208-333-2180
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
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