Provider Demographics
NPI:1093802258
Name:SAMLAND HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:SAMLAND HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-283-2525
Mailing Address - Street 1:7869 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6916
Mailing Address - Country:US
Mailing Address - Phone:954-961-7070
Mailing Address - Fax:954-961-9070
Practice Address - Street 1:7869 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6916
Practice Address - Country:US
Practice Address - Phone:954-961-7070
Practice Address - Fax:954-961-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991903251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108071Medicare ID - Type Unspecified