Provider Demographics
NPI:1417728114
Name:SAMARITAN HOME HEALTH LLC
Entity Type:Organization
Organization Name:SAMARITAN HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUELLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-790-0644
Mailing Address - Street 1:18301 E 8 MILE RD STE 213
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3227
Mailing Address - Country:US
Mailing Address - Phone:313-790-0644
Mailing Address - Fax:586-944-2039
Practice Address - Street 1:18301 E 8 MILE RD STE 213
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3227
Practice Address - Country:US
Practice Address - Phone:313-790-0644
Practice Address - Fax:586-944-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health