Samara House

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251K00000X Issued in PA

Legal business name

SAMARA HOUSE

Practice address

423 E Lincoln Hwy
Coatesville, PA 19320-3411

Phone

(610) 384-9591

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Joyce Bunnell, NCAC

Title

Director

Phone

(610) 384-9591

Specialties & licenses 1

Addresses

Tax ID family

Cywa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cywa

  • Substance Abuse Rehabilitation Facility
  • Coatesville, PA
  • NPI 1093986424
  NPD tax ID

Locations

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1154867604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203411",
            "telephone_number": "610-384-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203411",
            "telephone_number": "610-384-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "BUNNELL",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-384-9591",
        "authorized_official_credential": "NCAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "251K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Edward Rowan, M.D.
• Holly Ruckdeschel, PH.D.
• Isabel Rush
• S& D Marie Enterprise Limited Liability Corporation
• Jennifer S Salada
• Fatoumata Binta Samoura, RN
• Joshua Sanchez
• Peter A. Sands, PA-C
• Andrew V. Sardella, D.M.D.
• John Vincent Sardella, D.D.S.

• Community/Behavioral Health Agency in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.