NPIMap

Organization Active NPI

Good Samaritan Home Companion Services, Inc.

  • In Home Supportive Care Agency
  • Middleburg, FL
National Provider Identifier
1194089243
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
230249 Issued in FL
Legal business name
GOOD SAMARITAN HOME COMPANION SERVICES, INC.
Practice address
3689 Main Street
Middleburg, FL 32068
Phone
(904) 215-5900
Fax
(904) 215-5980
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Mr. Thomas Field Brewer
Title
President
Phone
(904) 215-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 230249 FL Primary

Addresses

Primary practice location

3689 Main Street
Middleburg, FL 32068

Mailing address

PO Box 962
Orange Park, FL 32067
Phone (904) 215-5900

Other identifiers 1

IdentifierTypeStateIssuer
230249OtherFLHOMEMAKER COMPANION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1194089243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32067",
            "telephone_number": "904-215-5900",
            "fax_number": "904-215-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3689 MAIN STREET",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "32068",
            "telephone_number": "904-215-5900",
            "fax_number": "904-215-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME COMPANION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FIELD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-215-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "230249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER COMPANION",
            "identifier": "230249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.