Provider Demographics
NPI:1669082350
Name:GOOD SAMARITAN HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:GOOD SAMARITAN HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:DOMINGO
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-920-1331
Mailing Address - Street 1:3403 E PLAZA BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-4140
Mailing Address - Country:US
Mailing Address - Phone:619-773-6357
Mailing Address - Fax:
Practice Address - Street 1:3403 E PLAZA BLVD.
Practice Address - Street 2:UNIT K
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950
Practice Address - Country:US
Practice Address - Phone:619-920-1331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health