NPIMap

Organization Active NPI

Good Samaritan Nursing Center Inc

  • Skilled Nursing Facility
  • Baltimore, MD
National Provider Identifier
1205880663
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
30051 Issued in MD
Legal business name
GOOD SAMARITAN NURSING CENTER INC
Practice address
1601 E Belvedere Ave
Baltimore, MD 21239-3004
Phone
(410) 532-5600
Fax
(410) 532-8141
NPI assigned
May 20, 2006
Last updated
Oct 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Deana L Stout
Title
VP Finance
Phone
(443) 444-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 30051 MD Primary

Addresses

Primary practice location

1601 E Belvedere Ave
Baltimore, MD 21239-3004

Mailing address

1601 E Belvedere Ave
Baltimore, MD 21239-3004

Other identifiers 1

IdentifierTypeStateIssuer
302437700MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Futurecare at Good Samaritan3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1601 E Belvedere Ave
Baltimore, MD 21239
Phone (410) 532-5600

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1205880663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393004",
            "telephone_number": "410-532-5600",
            "fax_number": "410-532-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "443-444-3841"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "30051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302437700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.