Active NPI
Good Samaritan Homecare Agency
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1184886319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOOD SAMARITAN HOMECARE AGENCY
- Practice address
- 624 W 85TH St
Su. 2
Los Angeles, CA 90044-5860 - Phone
- (424) 222-1115
- Fax
- (323) 455-0480
- NPI assigned
- Jun 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yvette Lashaun Washington
- Title
- Ceo
- Phone
- (424) 222-1115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
624 W 85TH St
Su. 2
Los Angeles, CA 90044-5860
Mailing address
624 W 85TH St
Su. 2
Los Angeles, CA 90044-5860
Phone (424) 222-1115
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1184886319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 W 85TH ST",
"address_2": "SU. 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900445860",
"telephone_number": "424-222-1115",
"fax_number": "323-455-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W 85TH ST",
"address_2": "SU. 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900445860",
"telephone_number": "424-222-1115",
"fax_number": "323-455-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN HOMECARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "YVETTE",
"authorized_official_middle_name": "LASHAUN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-222-1115",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Good Neighbor Clinic Foundation
- Good Neighbor Clinic Foundation
- Good Neighbor Clinics a Medical Group
- Good Price Corporation (Good Price Pharmacy)
- Good Rehab Physical Therapy Inc
- Good Samaritan Medical Practice Group Inc
- Good Seed Community Development Corporation
- Good Seed Connects, Inc.
- Good Time Adult Day Health Care Center, Inc. (Good Time Adult Day health Care Center)
- Linda M. Good-Hart, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.