Provider Demographics
NPI:1891893194
Name:GOOD SAMARITAN
Entity Type:Organization
Organization Name:GOOD SAMARITAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EHIOBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-228-5264
Mailing Address - Street 1:4634 W NORTHGATE DR APT 236
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2500
Mailing Address - Country:US
Mailing Address - Phone:214-228-5264
Mailing Address - Fax:
Practice Address - Street 1:4634 W NORTHGATE DR APT 236
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2500
Practice Address - Country:US
Practice Address - Phone:214-228-5264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health