Provider Demographics
NPI:1891559589
Name:SAMARITAN HOME CARE PARTNERS LLC
Entity Type:Organization
Organization Name:SAMARITAN HOME CARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:OSTBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-515-4364
Mailing Address - Street 1:16055 SW WALKER RD # 439
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-4942
Mailing Address - Country:US
Mailing Address - Phone:503-515-4364
Mailing Address - Fax:
Practice Address - Street 1:500 SW 116 AVE STE 168
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5937
Practice Address - Country:US
Practice Address - Phone:503-515-4364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health