Provider Demographics
NPI:1013373125
Name:SAMARITAN SERVICES, LLC
Entity Type:Organization
Organization Name:SAMARITAN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY-TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-545-4985
Mailing Address - Street 1:808 KRAFT ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-4935
Mailing Address - Country:US
Mailing Address - Phone:931-278-6217
Mailing Address - Fax:931-920-3702
Practice Address - Street 1:808 KRAFT ST
Practice Address - Street 2:SUITE F
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4935
Practice Address - Country:US
Practice Address - Phone:931-278-6217
Practice Address - Fax:931-920-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000017492253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care