Provider Demographics
NPI:1396216453
Name:SAMARITAN HOME CARE
Entity Type:Organization
Organization Name:SAMARITAN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAASEWE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, CSCM
Authorized Official - Phone:216-246-0444
Mailing Address - Street 1:1 TARA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2809
Mailing Address - Country:US
Mailing Address - Phone:216-246-0444
Mailing Address - Fax:978-246-8000
Practice Address - Street 1:1201 WESTFORD ST # U-2A
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-5225
Practice Address - Country:US
Practice Address - Phone:978-746-1646
Practice Address - Fax:978-246-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care