Good Samaritan Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD SAMARITAN HOME HEALTH CARE LLC

Practice address

1202 Broadway Ste 102
Fountain Hill, PA 18015-4113

Phone

(610) 782-1903

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Dinora Santiago

Title

Ceo, Owner

Phone

(610) 782-1903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398342

Legal name

GOOD SAMARITAN HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 3, 2023

Last certification

Jan 27, 2023

Organization structure

LLCProprietary

Incorporated

Feb 6, 2020 in PA

Enrollment address

1202 Broadway
Ste 102
Fountain Hill, PA 18015

Listed as

Good Samaritan Home Health Care LLCCCN 398342

Ownership

-

Certified

Feb 3, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1669088423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 BROADWAY STE 102",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154113",
            "telephone_number": "610-782-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BROADWAY STE 102",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154113",
            "telephone_number": "610-782-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "DINORA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "610-782-1903"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Getz, MA
• William Ermelindo Gioia, D.O.
• Charles Ross Goldberg, LPC
• Craig R Goldberg, M.D.
• Tiffany Jean Gonzales, M.D.
• Daniel Goral, CRNA
• Karen Gottshall, MSW
• Kaylee Grapsy
• Ashley Brooke Graul, MD
• Alicia Grim

• Home Health Agency in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.