NPIMap

Organization Active NPI

Good Samaritan Shelter

  • Respite Care
  • Santa Maria, CA
National Provider Identifier
1003555277
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
GOOD SAMARITAN SHELTER
Practice address
401 W Morrison Ave
Santa Maria, CA 93458-6124
Phone
(805) 347-3338
NPI assigned
Jun 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Chelsea Laurel Jensen, LMFT
Title
Mental Health Program Director
Phone
(805) 347-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

401 W Morrison Ave
Santa Maria, CA 93458-6124

Mailing address

400 W Park Ave
Santa Maria, CA 93458-6116
Phone (805) 346-8185

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://goodsamaritanshelter.org/

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Shelter Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1003555277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PARK AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934586116",
            "telephone_number": "805-346-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MORRISON AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934586124",
            "telephone_number": "805-347-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "MENTAL HEALTH PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "805-347-3338",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://goodsamaritanshelter.org/",
            "affiliation": "N",
            "endpointDescription": "Agency website",
            "address_1": "401 W Morrison Ave",
            "city": "Santa Maria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934586124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.