Good Samaritan Home Care

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

GOOD SAMARITAN HOME CARE

Practice address

30 S 15TH St FL 15
Philadelphia, PA 19102-4806

Phone

(215) 258-4285

Fax

(267) 799-2492

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Aza SimsNPI 1548869746

Title

Owner

Phone

(215) 964-4335

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Aza Sims Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aza Sims

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1548869746
  NPD Authorized official

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1508530973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST STE 1500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024826",
            "telephone_number": "215-964-4335",
            "fax_number": "267-799-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST FL 15",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "215-258-4285",
            "fax_number": "267-799-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "AZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-964-4335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE AGENCY/HOME CARE REGISTRY",
            "identifier": "57773601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aza Sims",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Aza Sims",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Respite Care in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Respite Care in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.