Provider Demographics
NPI:1194027482
Name:GOOD SAMARITANHOME HEALTH LLC
Entity Type:Organization
Organization Name:GOOD SAMARITANHOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:AKABUAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-446-0102
Mailing Address - Street 1:4756 SADDLERIDGE RD
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-2550
Mailing Address - Country:US
Mailing Address - Phone:614-446-0102
Mailing Address - Fax:
Practice Address - Street 1:4756 SADDLERIDGE RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-2550
Practice Address - Country:US
Practice Address - Phone:614-446-0102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health