Samuelson Associates

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

SAMUELSON ASSOCIATES

Doing business as

Grace Home Care

Practice address

138 Ridge St
Suite 204
Sault Sainte Marie, MI 49783-1988

Phone

(571) 420-9990

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By 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

Dr. Benson Varghese Samuel, MD

Title

Owner and Director

Phone

(571) 420-9990

Specialties & licenses 6

Addresses

Other names 1

• Grace Home Care Doing business as

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1386029197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 RIDGE ST",
            "address_2": "SUITE 204",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831988",
            "telephone_number": "571-420-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 RIDGE ST",
            "address_2": "SUITE 204",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831988",
            "telephone_number": "571-420-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELSON ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "BENSON",
        "authorized_official_middle_name": "VARGHESE",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "571-420-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MI",
            "license": "3879399",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Lee Royer, LMSW
• David Lloyd Runyan, PHD
• Madison Elise Russell, AU.D.
• Danielle Marie Russo, PA-C
• Danya Lee Russo, FNP-C
• Jenna R Sanderson
• Stephanie Sanderson
• Teresa Sanner, LBSW
• Muhammad Sardar, MD
• Sault Dental Association

• Home Infusion Agency in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Home Infusion Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.