Good Samaritan Carechoice & Compliance Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

397005245 Issued in CA

Legal business name

GOOD SAMARITAN CARECHOICE & COMPLIANCE GROUP LLC

Doing business as

A Good Samaritan Home- Barbados

Practice address

5315 Barbados Cir
Stockton, CA 95210-6608

Phone

(209) 451-0656

Fax

(209) 451-0656

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Praxedes Sedy Demesa, NHA

Title

President

Phone

(209) 406-6610

Specialties & licenses 1

Addresses

Other names 1

• A Good Samaritan Home- Barbados Doing business as

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1316354459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 BARBADOS CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106608",
            "telephone_number": "209-451-0656",
            "fax_number": "209-451-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 BARBADOS CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106608",
            "telephone_number": "209-451-0656",
            "fax_number": "209-451-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN CARECHOICE & COMPLIANCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "DEMESA",
        "authorized_official_first_name": "PRAXEDES",
        "authorized_official_middle_name": "SEDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-406-6610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "397005245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Good Samaritan Home- Barbados",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yesenia Gonzalez
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• Good Samaritan Care Provider LLC (Four Seasons in Paradise)
• Good Samaritan Care Provider LLC (Four Seasons Care Center- Lodi)
• Brell Moneece Goodlow
• Deja Makiya Goodlow
• Adam Anthony Goodwin, PT, DPT
• Candice Goodwin
• Eddie Goodwin III

• Assisted Living Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.