Provider Demographics
NPI:1114313111
Name:SAMARITAN HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:SAMARITAN HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLI
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-858-1999
Mailing Address - Street 1:3909 CUMING ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1225
Mailing Address - Country:US
Mailing Address - Phone:402-858-1999
Mailing Address - Fax:888-438-3351
Practice Address - Street 1:3909 CUMING ST
Practice Address - Street 2:SUITE 203
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1225
Practice Address - Country:US
Practice Address - Phone:402-858-1999
Practice Address - Fax:888-438-3351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA201412251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health