Provider Demographics
NPI:1790452035
Name:SAMARITAN HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SAMARITAN HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELSON
Authorized Official - Middle Name:NDOH
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-271-9252
Mailing Address - Street 1:333 KENDRICK DR
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2352
Mailing Address - Country:US
Mailing Address - Phone:443-271-9252
Mailing Address - Fax:
Practice Address - Street 1:333 KENDRICK DR
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2352
Practice Address - Country:US
Practice Address - Phone:443-271-9252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health