Good Samaritan Healthcare, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1786 Issued in NV

Legal business name

GOOD SAMARITAN HEALTHCARE, LLC

Practice address

5693 S Jones Blvd Ste 118
Las Vegas, NV 89118-1967

Phone

(702) 406-6604

Fax

(702) 791-5600

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Maretes Godinez

Title

Managing Partner

Phone

(725) 333-7121

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1629138219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5693 S JONES BLVD STE 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181967",
            "telephone_number": "702-896-8400",
            "fax_number": "702-791-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5693 S JONES BLVD STE 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181967",
            "telephone_number": "702-406-6604",
            "fax_number": "702-791-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "MARETES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "725-333-7121"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0535",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Sam LLC
• Good Samaritan Behavioral Health and Community Services
• Good Samaritan Family Practice
• Good Samaritan Healthcare
• Good Samaritan Healthcare, LLC
• Good Samaritan Home Health LLC
• Good Samaritan Hospice, Inc.
• Good Samaritan LLC
• Good Samaritan Transitional Care & Wound Specialist
• Good Sheperd Rebilitation

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.