Samaritan Garden Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

876 Issued in MS

Legal business name

SAMARITAN GARDEN PERSONAL CARE HOME

Practice address

2603 S Gloster St
Tupelo, MS 38801-6903

Phone

(662) 566-9974

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Pulliam Satterwhite

Title

Administrator

Phone

(662) 566-9974

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1508991357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016903",
            "telephone_number": "662-566-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016903",
            "telephone_number": "662-566-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN GARDEN PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SATTERWHITE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "PULLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-566-9974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770422",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda F Sage, M.S., CCC-A
• Laura Ashley Saia, PA-C
• Saint Jude Hospice-Mississippi,LLC
• Casey Ellen Salazar
• Sam'S East, Inc.
• Sams East Inc
• Jane Sams
• Andres Sanchez Nadales, M.D.
• Sanctuary Hospice House, Inc
• Sandbox Logistics Inc

• Assisted Living Facility in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.