Provider Demographics
NPI:1457983942
Name:HUGHSON SAMARITAN HOME CARE LLC
Entity Type:Organization
Organization Name:HUGHSON SAMARITAN HOME CARE LLC
Other - Org Name:SAMARITAN HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-252-0171
Mailing Address - Street 1:7700 FOX RD STE A
Mailing Address - Street 2:
Mailing Address - City:HUGHSON
Mailing Address - State:CA
Mailing Address - Zip Code:95326-9100
Mailing Address - Country:US
Mailing Address - Phone:209-252-0171
Mailing Address - Fax:209-262-1309
Practice Address - Street 1:7700 FOX RD STE A
Practice Address - Street 2:
Practice Address - City:HUGHSON
Practice Address - State:CA
Practice Address - Zip Code:95326-9100
Practice Address - Country:US
Practice Address - Phone:209-883-3580
Practice Address - Fax:209-926-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health