NPIMap

Organization Active NPI

Good Samaritan Shelter

  • Respite Care
  • Santa Maria, CA
National Provider Identifier
1689417339
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
GOOD SAMARITAN SHELTER
Practice address
2131 Southside Pkwy
Santa Maria, CA 93455-1389
Phone
(805) 554-7819
NPI assigned
Jun 18, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Chelsea Laurel Jensen, LMFT
Title
Director of Mental Health
Phone
(805) 405-6954

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Shelter Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

2131 Southside Pkwy
Santa Maria, CA 93455
Phone (805) 554-7819

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2131 Southside Pkwy
Santa Maria, CA 93455-1389

Mailing address

400 W Park Ave
Santa Maria, CA 93458-6116

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2024.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1689417339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PARK AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934586116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 SOUTHSIDE PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551389",
            "telephone_number": "805-554-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH",
        "authorized_official_telephone_number": "805-405-6954",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.