GOOD SAMARITAN RESIDENTIAL (NPI# 1972099257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972099257 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN RESIDENTIAL |
| Practice Address |
17254 N Rosemont St Maricopa AZ 85138-1874 |
| Mailing Address |
7346 E Melrose St Mesa AZ 85207-2071 |
| Practice Telephone | 4807071423 |
| Mailing Telephone | 4807071423 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | MR. JAMES TEMPLE (CHEIF OPERATING OFFICER) |
| Authorized Official Telephone | 4807071423 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
17254 N ROSEMONT ST |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85138-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
| 1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
| 1922657964 | Cathy Jo Rogers | Registered Nurse | 18600 North Porter Road, Maricopa, AZ 85138 | 2019-09-11 |
| 1902463565 | Four Directions LLC | Respite Care | 37724 W Amalfi Ave, Maricopa, AZ 85138 | 2019-05-20 |
| 1972087013 | Kristina Donnay | Family Medicine | 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 | 2018-09-24 |
| 1861909657 | Four Directions LLC | Respite Care | 43989 W Wade Drive, Maricopa, AZ 85138 | 2018-01-03 |
| 1063939411 | Christina Kern | Specialist/Technologist | 42623 W. Colby Dr., Maricopa, AZ 85138 | 2017-08-26 |
| 1205357191 | Konadu Family | Community Based Residential Treatment Facility, Mental Illness | 40030 W Coltin Way, Maricopa, AZ 85138 | 2017-06-29 |
| Find all providers in zip 85138 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474420 | Compassionate Health Care Services | Home Health | 41979 W Hillman Dr, Maricopa, AZ 85138-2249 | 2020-07-16 |
| 1154968691 | Nhouse Inc | Home Health | 45652 W Tucker Rd, Maricopa, AZ 85139-6640 | 2019-12-03 |
| 1881183184 | Marla Baker | Home Health | 44039 W Maricopa Ave, Maricopa, AZ 85138-5612 | 2018-05-02 |
| 1407393531 | T&t Home Health Care Agency | Home Health | 20649 N Mac Neil Ct, Maricopa, AZ 85138-6811 | 2017-01-26 |
| 1336699115 | Therex Unlimited Physical Rehab LLC | Home Health | 44042 W Palo Teca Rd, Maricopa, AZ 85138-3600 | 2016-10-05 |
| 1568917649 | Joyce Denise Smith | Home Health | 41402 W Hopper Dr, Maricopa, AZ 85138-7278 | 2016-08-18 |
| 1508214529 | Parent Helpers, LLC | Home Health | 45385 W Sandhill Rd, Maricopa, AZ 85139-9121 | 2016-05-31 |
| 1528476405 | Goshen Healthcare &hospice Services | Home Health | 44754 W Desert Garden Rd, Maricopa, AZ 85139-9171 | 2014-07-23 |
| 1760731418 | Agape Group Home | Home Health | 43605 W Caven Dr, Maricopa, AZ 85138-2442 | 2012-09-07 |
| 1235621350 | True Hearts II Inc. | Home Health | 19428 N John Wayne Pkwy, Maricopa, AZ 85139-2850 | 2018-06-04 |
| Find all providers in MARICOPA | ||||
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| 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.