Provider Demographics
NPI:1619735883
Name:SAMARITIN HOME CARE PROVIDER INC
Entity Type:Organization
Organization Name:SAMARITIN HOME CARE PROVIDER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLTIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-894-4244
Mailing Address - Street 1:621 NW 53RD ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-8235
Mailing Address - Country:US
Mailing Address - Phone:561-886-0430
Mailing Address - Fax:
Practice Address - Street 1:621 NW 53RD ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-8235
Practice Address - Country:US
Practice Address - Phone:561-886-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health