NPIMap

Organization Active NPI

Good Samaritan Hospice, Inc.

Doing business as Good Samaritan Home Health

  • Home Health Agency
  • Roanoke, VA
National Provider Identifier
1598508608
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD SAMARITAN HOSPICE, INC.
Doing business as
Good Samaritan Home Health
Practice address
4751 Cove Road NW
Roanoke, VA 24017
Phone
(540) 776-0198
NPI assigned
Jun 17, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Mrs. Jennifer Rock Simmons, RN
Title
Director
Phone
(540) 309-4657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4751 Cove Road NW
Roanoke, VA 24017

Mailing address

4751 Cove Road NW
Roanoke, VA 24017
Phone (540) 776-0198

Other names 1

  • Good Samaritan Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114004054 VA Part A Provider - Home Health Agency 2264430966 Practice locations: Roanoke, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598508608. Details of each certification follow.

Home health agency certification: CCN 497818

Legal name
GOOD SAMARITAN HOSPICE INC
Doing business as
GOOD SAMARITAN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 19, 2025
Last certification
Feb 20, 2025
Organization structure
CorporationNon-profit
Incorporated
Dec 10, 1991 in VA
Enrollment address
4751 Cove Rd NW
Ste C
Roanoke, VA 24017-1138
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Good Samaritan Hospice IncCCN 497818 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Mar 19, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1160 Moose Dr
Christiansburg, VA 24073
Phone (540) 381-3171

4751 Cove Rd NW
Roanoke, VA 24017
Phone (540) 293-3305

4751 Cove Rd NW
Ste C
Roanoke, VA 24017
Phone (540) 776-0198

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Linda Manns Individual Corporate DirectorChair of Board Jan 1, 2022
Donna Angle Individual Corporate DirectorDirector Jan 1, 2024
Gwen Glasby Individual Corporate DirectorDirector Jan 1, 2024
Christine Poarch Individual Corporate DirectorDirector Jan 1, 2024
Jennifer Rock Simmons Individual W-2 Managing EmployeeRN, Director of Home Health Service May 6, 2024
Operational/Managerial ControlRN, Director of Home Health Service May 6, 2024
Andrew Ernest Fintel Individual Corporate DirectorDirector, Physician Jan 1, 2022
Robyn Smith Ellis Individual Corporate DirectorDirector Jan 1, 2024
Hollie Young Individual Corporate OfficerChief Operating Officer Jul 29, 2024
W-2 Managing EmployeeAd; Apr 2, 2024
Suzanne R Ranson Individual Corporate DirectorDirector, Vice-Chair Jan 1, 2024
Janet Crawford Individual Corporate DirectorDirector Jan 1, 2022
Charles Harris Individual Corporate DirectorDirector Jan 1, 2023
Charlene R Viers Individual Corporate DirectorFNP-C, Arnp, Director Jan 1, 2022
Paula Lada Prince Individual Corporate DirectorDirector, Qi Chair Jan 1, 2022
Clifford Nottingham Individual Corporate DirectorDoctor Jan 1, 2024
Scott W Berglund Individual Corporate DirectorDirector Jan 1, 2023
Aaron Housh Individual Corporate OfficerCeo Nov 8, 2018
W-2 Managing EmployeeCeo Nov 8, 2018
Operational/Managerial ControlCeo Nov 8, 2019
Mary Baron Individual Corporate DirectorDirector Jan 1, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1598508608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 COVE ROAD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24017",
            "telephone_number": "540-776-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 COVE ROAD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24017",
            "telephone_number": "540-776-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROCK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-309-4657",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.