Sams Place 78 LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SAMS PLACE 78 LLC

Practice address

3424 Fir St # 1
East Chicago, IN 46312-2014

Phone

(773) 971-0439

NPI assigned

May 26, 2025

Organization subpart

No

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

Authorized official

Name

Shavonne Morrison, MSWNPI 1891588646

Title

Ceo

Phone

(219) 613-3478

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shavonne Morrison, MSW

  • Social Worker
  • East Chicago, IN
  • NPI 1891588646
  NPD Authorized official

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1033902887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 CALUMET AVE # 1102",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211215",
            "telephone_number": "773-971-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 FIR ST # 1",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122014",
            "telephone_number": "773-971-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMS PLACE 78 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "SHAVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-613-3478",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn June Rys
• Ahmed Sabry, M.D
• Saint Margaret Mercy Dialysis Centers, LLC
• Kelly Ann Salazar, FNP
• Selena Samardzich, FNP
• Berenis Sandoval
• Epifanio Gloria Sandoval, MD
• Maria Sangueza, RPH
• Claudia Guadalupe Santacruz, PA-C
• Rachel Santay, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.