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Good Samaritan Shelter

Organization Active NPI Substance Abuse Rehabilitation Facility · Santa Maria, CA

NPI 1043640824 · NPPES record last updated Nov 19, 2019

Key facts

NPI
1043640824
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
GOOD SAMARITAN SHELTER
Practice address
403 W Morrison Ave
Santa Maria, CA 93458
Phone
(805) 346-8185
NPI assigned
Nov 15, 2013
Organization subpart
No

Authorized official

Name
Donna Flores, CATC
Title
Director of Treatment
Phone
(805) 346-8185

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 29

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

View all 29

Practitioners 1

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

  • Melissa Ann Hensiek Addiction (Substance Use Disorder) Counselor · Santa Maria, CA · NPI 1366904245
    NPD (past) ADDICTION (SUBSTANCE USE DISORDER)

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230703001507 CA Part B Supplier - Clinic/Group Practice 6204295603 Receives reassigned benefits from 4 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lompoc, CA; Santa Maria, CA

National Provider Directory

Tax ID family
Good Samaritan Shelter Inc (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YA0400X
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

403 W Morrison Ave
Santa Maria, CA 93458

Mailing address

403 W Morrison Ave
Santa Maria, CA 93458-8166
Phone (805) 346-8185

Other names

  • Casa De Familia Treatment Center Doing business as

Other providers in Santa Maria, CA

All providers in Santa Maria, CA · Substance Abuse Rehabilitation Facility in California

Sources for this page

Verify at the official NPI Registry.