Organization Active NPI

Good Samaritan Home Health LLC

  • In Home Supportive Care Agency
  • Bradenton, FL
National Provider Identifier
1699459123
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOOD SAMARITAN HOME HEALTH LLC
Practice address
5108 15TH St E Ste 106
Bradenton, FL 34203-4844
Phone
(770) 882-9631
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Christian Eugene
Title
MGR
Phone
(770) 882-9631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5108 15TH St E Ste 106
Bradenton, FL 34203-4844

Mailing address

8965 Royal River Cir
Parrish, FL 34219-3219
Phone (770) 882-9631

Other names 1

  • Acti-Kare Responsive In-Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

5108 15th St E
Ste 106
Bradenton, FL 34203
Phone (770) 882-9631

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1699459123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 ROYAL RIVER CIR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342193219",
            "telephone_number": "770-882-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 15TH ST E STE 106",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034844",
            "telephone_number": "770-882-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "EUGENE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "770-882-9631"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.