Good Samaritan Senior Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

GOOD SAMARITAN SENIOR HOME LLC

Doing business as

Adult Family Home

Practice address

31625 51St Ave S
Auburn, WA 98001-3810

Phone

(253) 939-5751

Fax

(253) 939-6927

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Betelhem B Menkir, RNNPI 1376354472

Title

Manager

Phone

(206) 496-5334

Specialties & licenses 1

Addresses

Other names 1

• Adult Family Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betelhem B Menkir, RN

  • Registered Nurse
  • Auburn, WA
  • NPI 1376354472
  NPD Authorized official

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1639980733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31625 51ST AVE S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013810",
            "telephone_number": "253-939-5751",
            "fax_number": "253-939-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 51ST AVE S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980013810",
            "telephone_number": "253-939-5751",
            "fax_number": "253-939-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SENIOR HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "MENKIR",
        "authorized_official_first_name": "BETELHEM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-496-5334",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Golinvaux
• Artem Dmitiryevich Golub
• Liliya Golub
• Gene Michael Gomez, MD
• Genevieve Gonzales
• Laini A Goodlett, RN
• Marchelle Goodman
• Douglas James Gordon, DDS
• Jontaa Denise Gordon
• Sarah Gossett

• Registered Nurse in Auburn, WA
• Providers in Auburn, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.