Good Samaritan Home Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD SAMARITAN HOME CARE SERVICES, LLC

Practice address

3 Round Swamp Rd
Kingstree, SC 29556-7512

Phone

(843) 382-3574

Fax

(843) 382-3583

NPI assigned

Jul 10, 2010

Last updated

Jul 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Pendergrass

Title

Owner

Phone

(843) 382-3574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1194037820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROUND SWAMP ROAD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "29556",
            "telephone_number": "843-382-3574",
            "fax_number": "843-382-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ROUND SWAMP RD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295567512",
            "telephone_number": "843-382-3574",
            "fax_number": "843-382-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "PENDERGRASS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-382-3574",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie R Gamble, M.S.
• Georgetown Hospital Home Health LLC (Amedisys Home Health of Myrtle Beach)
• Jafer Nasser Gheraibeh, M.D.
• Jalisa Vonett Gibbs
• Good Samaritan Adult Day Care
• Good Samaritan Residential Care
• Domonique Jones Goode
• Graceful Companion Home Care LLC
• Dexter Graham
• James A. Graham Jr.

• Home Health Agency in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.