Good Samaritan Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011009 Issued in IL

Legal business name

GOOD SAMARITAN HOME HEALTH SERVICES, INC.

Practice address

220 E Lake St
Suite 103
Addison, IL 60101-2887

Phone

(630) 833-0141

Fax

(630) 833-0789

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Imelda M Cuevo, BSN, RN

Title

Administrator

Phone

(630) 833-0141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1497984843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E LAKE ST",
            "address_2": "SUITE 103",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012887",
            "telephone_number": "630-833-0141",
            "fax_number": "630-833-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E LAKE ST",
            "address_2": "SUITE 103",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012887",
            "telephone_number": "630-833-0141",
            "fax_number": "630-833-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "CUEVO",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-833-0141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Addison, IL
• Providers in Addison, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.