Good Samaritan Device Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0084201 Issued in TX

Legal business name

GOOD SAMARITAN DEVICE CORP.

Practice address

4611 S Main St
Ste. 8B
Stafford, TX 77477-4731

Phone

(281) 980-4733

Fax

(281) 313-0590

NPI assigned

May 9, 2006

Last updated

Aug 22, 2020By 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

Mr. Asuqwo F Ekene

Title

President

Phone

(281) 980-4733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578512448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 S MAIN ST",
            "address_2": "STE. 8B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774731",
            "telephone_number": "281-980-4733",
            "fax_number": "281-313-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S MAIN ST",
            "address_2": "STE. 8B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774731",
            "telephone_number": "281-980-4733",
            "fax_number": "281-313-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN DEVICE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EKENE",
        "authorized_official_first_name": "ASUQWO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-980-4733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0084201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaridia Roxana Gomez, RN
• Sabrina Gonzales-Smith
• Leticia G. Gonzalez-Castro, LMSW
• Angela R Gonzalez, OTA
• Sergio Gonzalez
• Good Samaritan Ventures LLC (Main Street Pharmacy & Medical Supply)
• Good Shepherd Care Center Inc
• Good Shepherd Care Center, Inc
• Lien Goralski
• Babak Goravanchi, DDS

• Durable Medical Equipment & Medical Supplies in Stafford, TX
• Providers in Stafford, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.