Provider Demographics
NPI:1669088423
Name:GOOD SAMARITAN HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:GOOD SAMARITAN HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DINORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-782-1903
Mailing Address - Street 1:1202 BROADWAY STE 102
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-4113
Mailing Address - Country:US
Mailing Address - Phone:610-782-1903
Mailing Address - Fax:
Practice Address - Street 1:1202 BROADWAY STE 102
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-4113
Practice Address - Country:US
Practice Address - Phone:610-782-1903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health