Organization Active NPI

Good Samaritan Homecare Agency

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1184886319
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 30, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.