Good Samaritan Home Care Solutions LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

000806 Issued in CT

Legal business name

GOOD SAMARITAN HOME CARE SOLUTIONS LLC

Practice address

10 W Spring St
1St Floor
West Haven, CT 06516-3338

Phone

(203) 691-6005

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Alex R Hubbard

Title

Chief Executive Officer

Phone

(203) 691-6006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1326474792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RESEARCH DR",
            "address_2": "SUITE 402",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846280",
            "telephone_number": "203-691-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SPRING ST",
            "address_2": "1ST FLOOR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163338",
            "telephone_number": "203-691-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-691-6006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CT",
            "license": "000806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Gondek, MSW
• Therese Gonley, APRN
• Kishorchandra R Gonsai, MD
• Alex Gonzales-Harsha, PSYD
• Adriana Laura Gonzalez, PH.D.
• Susan Goodson, M.D.
• Victoria Goralnik, PSY.D
• Lisa Michelle Gordon-Green, APRN- BC
• Rohan Anthony Gordon
• Gabrielle T Grant, LPCA

• All providers in West Haven, CT
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.