Samaritan Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550000213 Issued in CA

Legal business name

SAMARITAN HOME HEALTH AGENCY, INC.

Practice address

10523 Burbank Blvd
Suite 201
North Hollywood, CA 91601-2233

Phone

(818) 766-0500

Fax

(818) 766-0506

NPI assigned

Feb 6, 2007

Last updated

Jan 18, 2011By 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

Roshanak Khadem

Title

Ceo

Phone

(818) 766-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1275672966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD",
            "address_2": "SUITE 201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012233",
            "telephone_number": "818-766-0500",
            "fax_number": "818-766-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10523 BURBANK BLVD",
            "address_2": "SUITE 201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012233",
            "telephone_number": "818-766-0500",
            "fax_number": "818-766-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "KHADEM",
        "authorized_official_first_name": "ROSHANAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-766-0500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.