Provider Demographics
NPI:1851043954
Name:GOOD SAMARITAN SENIOR CARE
Entity Type:Organization
Organization Name:GOOD SAMARITAN SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NOSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-540-0511
Mailing Address - Street 1:11100 MUELLER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-6960
Mailing Address - Country:US
Mailing Address - Phone:314-540-0511
Mailing Address - Fax:314-849-1975
Practice Address - Street 1:11100 MUELLER RD STE 3
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-6960
Practice Address - Country:US
Practice Address - Phone:314-540-0511
Practice Address - Fax:314-849-1975
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOSER 5, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty