Samuel Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SAMUEL HOME CARE, LLC

Practice address

4530 Nantucket Dr Apt 1
Youngstown, OH 44515-4449

Phone

(330) 717-9302

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Paul Samuel Rodgers II

Title

Owner

Phone

(330) 717-9302

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1265005060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "KINSMAN",
            "state": "OH",
            "postal_code": "444280051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 NANTUCKET DR APT 1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445154449",
            "telephone_number": "330-717-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-717-9302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prodgers@samuelhomecare.com",
            "affiliation": "N",
            "endpointDescription": "business server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4530 Nantucket Dr Apt 1",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445154449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda J. Sam, LPN
• Jodi Sam
• Gabriella Sophia Sammarone
• Angela Sammartino
• Samuel a. Sebastian & Gene Hrycak Dba Optical Vision of Youngstown
• Marina Lynn Samuels
• Marquett Samuels
• Jeriko Draven San Roman
• Jessica J Sanchez, RN
• Ruth Marie Sandberg

• Home Health Agency in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.