Samaritan Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010895 Issued in IL

Legal business name

SAMARITAN HEALTHCARE, LLC

Practice address

1585 Ellinwood Ave Ste L19
Des Plaines, IL 60016-4540

Phone

(847) 376-8524

Fax

(847) 813-6471

NPI assigned

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Siddiq Ahmed

Title

Administrator

Phone

(847) 877-5808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1659527778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S RIVER RD",
            "address_2": "SUITE 109",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600183222",
            "telephone_number": "847-357-9410",
            "fax_number": "847-357-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 ELLINWOOD AVE STE L19",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164540",
            "telephone_number": "847-376-8524",
            "fax_number": "847-813-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SIDDIQ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-877-5808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.