The Good Samaritan Assisted Living Home I, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE GOOD SAMARITAN ASSISTED LIVING HOME I, LLC

Practice address

16250 N 40TH LN
Phoenix, AZ 85053-2729

Phone

(480) 737-0373

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 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

Nancy Chang, PHARMDNPI 1538790183

Title

Manager

Phone

(480) 737-0373

Specialties & licenses 1

Addresses

Other names 1

• The Good Samaritan Assisted Living Home I Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Chang

  • Assisted Living Facility
  • Phoenix, AZ
  • NPI 1538790183
  NPD Authorized official

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1598398620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4522",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852614522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 N 40TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532729",
            "telephone_number": "480-737-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SAMARITAN ASSISTED LIVING HOME I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-737-0373",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Good Samaritan Assisted Living Home I",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.