Organization Active NPI

Samaritan Services Inc.

  • Home Health Agency
  • Englewood, NJ
National Provider Identifier
1679094445
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2251L001 Issued in NY
Legal business name
SAMARITAN SERVICES INC.
Practice address
111 Wood St
Englewood, NJ 07631-3226
Phone
(718) 834-1911
NPI assigned
Jul 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Phyllis Ross
Title
President/Ceo
Phone
(201) 568-3781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2251L001 NY Primary

Addresses

Primary practice location

111 Wood St
Englewood, NJ 07631-3226

Mailing address

111 Wood St
Englewood, NJ 07631-3226

Other identifiers 1

IdentifierTypeStateIssuer
BJYZMedicaidNY

National Provider Directory

National Provider Directory

Locations

24 County Rd
Fl 2
Tenafly, NJ 07670

25 Chapel St
Ste 1201
Brooklyn, NY 11201

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1679094445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WOOD ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WOOD ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313226",
            "telephone_number": "718-834-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2025-09-12",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-568-3781"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2251L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BJYZ",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.