SAMARA HOME DOCTOR SERVICES, LLC (NPI# 1144704073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144704073 |
| Entity Type | Organization |
| Organization Name | SAMARA HOME DOCTOR SERVICES, LLC |
| Other Organization Name | SAMARA HOME DOCTOR SERVICES, LLC |
| Practice Address |
1800 Pembrook Dr Ste 300 Orlando FL 32810-6378 |
| Practice Telephone | 3212004489 |
| Practice Fax Number | 4075545860 |
| Mailing Telephone | 3212004489 |
| Mailing Fax Number | 4075545860 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | DR. JUDITH FAUSTIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3212004489 |
| Authorized Official Credential | DRPH, FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | LB425 | 01 |
| Other Name | Type Code |
|---|---|
| Doctors to your Door of Central Florida, LLC | Doing Business As Name - Organization |
| SAMARA HOME DOCTOR SERVICES, LLC | Doing Business As Name - Organization |
| Street Address |
1800 PEMBROOK DR STE 300 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-6378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568772994 | Assured & Associates Personal Care of Fl, LLC | Home Health | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2010-10-19 |
| 1649749565 | Neurotherapeutic Addictions Associates Inc | Psychiatry & Neurology | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2018-11-20 |
| 1952847261 | Rhylans Ark Support Services Inc | Home Health | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2017-01-10 |
| 1194137679 | Judith Faustin-gabriel | Nurse Practitioner | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2014-06-02 |
| 1255757068 | Sistars In Harmony Case Management Services | Case Management | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2014-03-17 |
| 1225382260 | Raven E Scott | In Home Supportive Care | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194228668 | Urgent Family Clinic, LLC | Clinic/Center | 1130 S Semoran Blvd Ste F, Orlando, FL 32807-1457 | 2018-03-12 |
| 1326541897 | Urgent Family Clinic, LLC | Clinic/Center | 11601 S Orange Blossom Trl Ste 101, Orlando, FL 32837-9437 | 2018-03-12 |
| 1134620792 | Lotus Family Health LLC | Clinic/Center | 1803 Park Center Dr Ste 111, Orlando, FL 32835-6216 | 2018-02-27 |
| 1487190609 | Bones Medical Group | Clinic/Center | 8288 Lee Vista Blvd Ste A, Orlando, FL 32829-8071 | 2017-01-11 |
| 1568833093 | Advantage Medical Group LLC | Clinic/Center | 1111-b S Semoran Blvd, Orlando, FL 32807-1480 | 2015-10-09 |
| 1497168173 | Doctors At Home Tri County | Clinic/Center | 11954 Narcoossee Rd Ste 2 #504, Orlando, FL 32832-6998 | 2014-06-10 |
| 1700209400 | Orange Ave Consulting | Clinic/Center | 2106 N Orange Ave, Orlando, FL 32804-5535 | 2014-01-31 |
| 1750621538 | Florida Family Physicians | Clinic/Center | 2840 N Hiawassee Rd, Suite 428, Orlando, FL 32818-3319 | 2013-02-15 |
| 1629322755 | Growing Together Pediatrics, LLC | Clinic/Center | 5164 S. Conway Rd, Orlando, FL 32819-1252 | 2012-10-26 |
| 1558622068 | Gutteridge Jeancharles, Md, Pa | Clinic/Center | 6388 Silver Star Rd Ste 2h, Orlando, FL 32818-3235 | 2012-05-31 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on SAMARA HOME DOCTOR SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.