Active NPI
Good Samaritan Way
- Home Health Agency
- Sumter, SC
National Provider Identifier
1245700855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOOD SAMARITAN WAY
- Practice address
- 3340 Laurderdale Lane
Sumter, SC 29154 - Phone
- (803) 236-3867
- NPI assigned
- Nov 27, 2018
- 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
- Mrs. Terri Hannibal
- Title
- Director
- Phone
- (803) 236-3867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3340 Laurderdale Lane
Sumter, SC 29154
Mailing address
3340 Laurderdale Lane
Sumter, SC 29154
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543276800000",
"number": "1245700855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 LAURDERDALE LANE",
"city": "SUMTER",
"state": "SC",
"postal_code": "29154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 LAURDERDALE LANE",
"city": "SUMTER",
"state": "SC",
"postal_code": "29154",
"telephone_number": "803-236-3867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN WAY",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A",
"authorized_official_last_name": "HANNIBAL",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "803-236-3867",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.