Organization Active NPI

Samaritan'S Heart, LLC

  • In Home Supportive Care Agency
  • Du Bois, PA
National Provider Identifier
1003354226
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAMARITAN'S HEART, LLC
Practice address
83 Beaver Dr Ste a
Du Bois, PA 15801-2435
Phone
(814) 591-2278
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ree Mitra
Title
Administrator
Phone
(814) 591-2278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

83 Beaver Dr Ste a
Du Bois, PA 15801-2435

Mailing address

PO Box 255
C/O Mpi
Du Bois, PA 15801-0255
Phone (814) 591-2278

National Provider Directory

National Provider Directory

Locations

83 Beaver Dr
Ste A
Du Bois, PA 15801
Phone (814) 591-2278

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1003354226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "address_2": "C/O MPI",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010255",
            "telephone_number": "814-591-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 BEAVER DR STE A",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012435",
            "telephone_number": "814-591-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN'S HEART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "REE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-591-2278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.