NPIMap

Organization Active NPI

Good Sam Healing Center

  • Adult Care Home Facility
  • Bakersfield, CA
National Provider Identifier
1407462104
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GOOD SAM HEALING CENTER
Practice address
229 S Chester Ave
Bakersfield, CA 93304-3648
Phone
(661) 903-5555
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Minty Dillon
Title
Ceo
Phone
(661) 215-7500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary
Respite Care 385H00000X

Addresses

Primary practice location

229 S Chester Ave
Bakersfield, CA 93304-3648

Mailing address

901 Olive Dr
Bakersfield, CA 93308-4137
Phone (661) 903-5555

National Provider Directory

National Provider Directory
Tax ID family
Good Sam Healing Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1407462104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 OLIVE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084137",
            "telephone_number": "661-903-5555",
            "fax_number": "661-215-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933043648",
            "telephone_number": "661-903-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAM HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MINTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-215-7500"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.